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Jejunal diverticulosis

A P Meagher1, A J Porter, R Rowland

  • 1Department of Colo-Rectal Surgery, Royal Adelaide Hospital, Australia.

The Australian and New Zealand Journal of Surgery
|May 1, 1993
PubMed
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Jejunal diverticulosis, often asymptomatic, can lead to serious complications like inflammation, malabsorption, and pain. This review highlights that jejunal diverticulosis is pathologically diverse and frequently associated with unrecognized complications.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Jejunal diverticulosis is typically viewed as an asymptomatic condition characterized by pulsion mucosal herniations.
  • These herniations often lack a muscular layer in their walls.

Purpose of the Study:

  • To examine the complications associated with jejunal diverticulosis.
  • To review the pathological diversity of jejunal diverticula.

Main Methods:

  • Retrospective review of 20 cases of jejunal diverticulosis treated over an 8-year period.
  • Analysis of clinical presentations, complications, and histological findings from resected specimens.

Main Results:

  • The predominant complications were inflammation/perforation (9 cases), diarrhea/malabsorption (5), hemorrhage (3), chronic abdominal pain (2), and pseudo-obstruction (1).

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  • At least 10 patients experienced multiple, often unrecognized, complications.
  • Histological review revealed diverse pathological types, including narrow-mouthed pulsion diverticula, wide-mouthed diverticula with muscle layer abnormalities, and associated mucosal villous atrophy in 7 cases, suggesting bacterial overgrowth.
  • Conclusions:

    • Jejunal diverticulosis is associated with a higher frequency of complications than previously recognized.
    • Pathologically, jejunal diverticulosis is a heterogeneous condition.