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Related Experiment Videos

Jejunoileal diverticula

D C Chow1, M Babaian, H L Taubin

  • 1Yale University School of Medicine, Bridgeport Hospital, Department of Medicine and Gastroenterology, CT 06610, USA.

The Gastroenterologist
|March 1, 1997
PubMed
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Jejunoileal diverticula affect 1-5% of people, increasing with age. While often asymptomatic, complications like obstruction or bleeding can occur, requiring surgical intervention in some cases.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Radiology

Background:

  • Jejunoileal diverticula (JID) are uncommon, affecting 1-5% of the population, with incidence rising in older adults.
  • Pathogenesis is linked to acquired defects in intestinal smooth muscle or the myenteric plexus.
  • JID distribution varies: 80% jejunal (large, multiple), 15% ileal (small, solitary), and 5% mixed.

Purpose of the Study:

  • To review the epidemiology, pathogenesis, clinical presentation, diagnostic challenges, and management of jejunoileal diverticula.
  • To highlight the diagnostic difficulties and appropriate use of enteroclysis.
  • To outline conservative and surgical management strategies for symptomatic and complicated JID.

Main Methods:

  • Literature review of jejunoileal diverticula, focusing on incidence, pathogenesis, clinical features, diagnosis, and management.

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  • Analysis of diagnostic modalities, including limitations of standard imaging and the role of enteroclysis.
  • Review of complication rates and surgical treatment options.

    • Main Results:

    • Symptoms like abdominal pain, flatulence, and altered bowel habits occur in 10-30% of patients.
    • Radiographic diagnosis is challenging; enteroclysis is reserved for persistent symptoms after other studies.
    • Complications (obstruction, diverticulitis, hemorrhage, perforation, malabsorption) affect 6-10% of patients.

    Conclusions:

    • Conservative management is recommended for asymptomatic jejunoileal diverticula.
    • Surgical resection with primary anastomosis is the preferred treatment for symptomatic or complicated cases.
    • Early recognition and appropriate diagnostic workup are crucial for effective management.