[Diverticula of the jejunum as a diagnostic and therapeutic problem]

Five patients with jejenal diverticuli verifed by X-ray were discussed. Four of these patients under-went surgery because of the size of the diverticuli and due to their associating symptoms. In the fifth patient, more conservative therapy has prooved this far to be successful. With the four who underwent surgery, the diverticuli were totally resected and sutured at their bases. In one of the operated cases the intestinal lumen was made too narrow by resuturing the neck of the diverticulum (which was 2 cm in diameter). A reoperation in which the lumen would be widened was deemed necessary so as to promote normal passage of the intestinal contents. Postoperative control checkups showed that all five patients were relieved of the symptoms they had for years prior to their treatment. The X-ray finding were decisive in makings the diagnosis, and the presenting symptoms were indicative of surgery.