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The Surgical Significance of Jejunal Diverticulosis

The Surgical Significance of Jejunal Diverticulosis Abstract Diverticulosis of the jejunum, generally considered to be an asymptomatic condition, may produce a variety of interesting clinical and pathophysiologic syndromes which are correctable by surgical intervention. In a group of 62 patients with jejunal diverticulosis seen at the Cincinnati General Hospital and associated hospitals of the University of Cincinnati, the natural history and complications of this poorly understood condition have been delineated. In this series significant symptomatic complications have occurred in 16 patients, and these form the basis of this report. As seen at operation or the autopsy table, acquired jejunal diverticula appear as thinwalled, round, elliptical or multilobulated sacs continuous with the wall of the intestine and extending between the leaves of the mesentery, in contrast to the congenital Meckelian diverticulum which arises from the antimesenteric border of the intestine. A branch of the mesenteric vessel can often be seen coursing across the fundus of a sac. When References 1. Axelrod, H.: Non-Meckelian Diverticula of the Jejunum and Ileum , Amer J Surg 88:405, 1954.Crossref 2. Badenoch, J., and Bedford, P. D.: Massive Diverticulosis of the Upper Intestine Presenting With Steatorrhea and Megaloblastic Anaemia , Quart J Med 23:462, 1954. 3. Dixon, C. F., and Waugh, J. M.: Non-Meckelian Diverticula of the Jejunum and Ileum , Ann Surg 118:377, 1943.Crossref 4. Butler, R. W.: Traumatic Rupture of Intramesenteric Diverticula of the Jejunum , Brit J Surg 25:277, 1937.Crossref 5. Dick, A. P.: Association of Jejunal Diverticulosis and Steatorrhea , Brit Med J 1:145, 1955.Crossref 6. Halsted, J. A.; Lewis, P. M.; and Gasster, M.: Absorption of Radioactive Vitamin B12 in the Syndrome of Megaloblastic Anemia Associated With Intestinal Stricture or Anastomosis , Amer J Med 20:42, 1956.Crossref 7. Krevans, J. R.; Conley, C. L.; and Sachs, M. V.: Radioactive Tracer Tests for the Recognition and Identification of Vitamin B12 Deficiency States , J Chron Dis 3:234, 1956.Crossref 8. Nanson, E. M., and Dragan, G. E.: A Spontaneous Pneumoperitoneum Due to Jejunal Diverticulosis , Ann Surg 143:112, 1956.Crossref 9. Orr, I. M., and Russell, J. Y. W.: Diverticulosis of the Jejunum: A Clinical Entity , Brit J Surg 39:139, 1951.Crossref 10. Rosedale, R. S., and Lawrence, H. R.: Jejunal Diverticulosis , Amer J Surg 34:369, 1936.Crossref 11. Shackleford, R. T., and Marcus, W. Y.: Jejunal Diverticula: A Cause of Gastrointestinal Hemorrhage , Ann Surg 151:930, 1960.Crossref 12. Slater, N. S.: Perforation and Obstruction by Enterolith Complicating Jejunal Diverticulosis , Brit J Surg 41:60, 1954.Crossref 13. Stiven, H. E. S.: Jejuno-Ileal Diverticulitis , Lancet 2:704, 1934.Crossref 14. Watkinson, G.; Feather, D. B.; Marson, F. G.; and Dosseltt, J. A.: Massive Jejunal Diverticulosis With Steatorrhea and Megaloblastic Anemia Improved by Excision of Diverticula , Brit Med J 2:58, 1959.Crossref 15. Watson, C. M.: Diverticula of Jejunum: A Case With Enterolith Causing Intestinal Obstruction , Surg Gynec Obstet 38:67, 1924. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Surgical Significance of Jejunal Diverticulosis

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310110042007
Publisher site
See Article on Publisher Site

Abstract

Abstract Diverticulosis of the jejunum, generally considered to be an asymptomatic condition, may produce a variety of interesting clinical and pathophysiologic syndromes which are correctable by surgical intervention. In a group of 62 patients with jejunal diverticulosis seen at the Cincinnati General Hospital and associated hospitals of the University of Cincinnati, the natural history and complications of this poorly understood condition have been delineated. In this series significant symptomatic complications have occurred in 16 patients, and these form the basis of this report. As seen at operation or the autopsy table, acquired jejunal diverticula appear as thinwalled, round, elliptical or multilobulated sacs continuous with the wall of the intestine and extending between the leaves of the mesentery, in contrast to the congenital Meckelian diverticulum which arises from the antimesenteric border of the intestine. A branch of the mesenteric vessel can often be seen coursing across the fundus of a sac. When References 1. Axelrod, H.: Non-Meckelian Diverticula of the Jejunum and Ileum , Amer J Surg 88:405, 1954.Crossref 2. Badenoch, J., and Bedford, P. D.: Massive Diverticulosis of the Upper Intestine Presenting With Steatorrhea and Megaloblastic Anaemia , Quart J Med 23:462, 1954. 3. Dixon, C. F., and Waugh, J. M.: Non-Meckelian Diverticula of the Jejunum and Ileum , Ann Surg 118:377, 1943.Crossref 4. Butler, R. W.: Traumatic Rupture of Intramesenteric Diverticula of the Jejunum , Brit J Surg 25:277, 1937.Crossref 5. Dick, A. P.: Association of Jejunal Diverticulosis and Steatorrhea , Brit Med J 1:145, 1955.Crossref 6. Halsted, J. A.; Lewis, P. M.; and Gasster, M.: Absorption of Radioactive Vitamin B12 in the Syndrome of Megaloblastic Anemia Associated With Intestinal Stricture or Anastomosis , Amer J Med 20:42, 1956.Crossref 7. Krevans, J. R.; Conley, C. L.; and Sachs, M. V.: Radioactive Tracer Tests for the Recognition and Identification of Vitamin B12 Deficiency States , J Chron Dis 3:234, 1956.Crossref 8. Nanson, E. M., and Dragan, G. E.: A Spontaneous Pneumoperitoneum Due to Jejunal Diverticulosis , Ann Surg 143:112, 1956.Crossref 9. Orr, I. M., and Russell, J. Y. W.: Diverticulosis of the Jejunum: A Clinical Entity , Brit J Surg 39:139, 1951.Crossref 10. Rosedale, R. S., and Lawrence, H. R.: Jejunal Diverticulosis , Amer J Surg 34:369, 1936.Crossref 11. Shackleford, R. T., and Marcus, W. Y.: Jejunal Diverticula: A Cause of Gastrointestinal Hemorrhage , Ann Surg 151:930, 1960.Crossref 12. Slater, N. S.: Perforation and Obstruction by Enterolith Complicating Jejunal Diverticulosis , Brit J Surg 41:60, 1954.Crossref 13. Stiven, H. E. S.: Jejuno-Ileal Diverticulitis , Lancet 2:704, 1934.Crossref 14. Watkinson, G.; Feather, D. B.; Marson, F. G.; and Dosseltt, J. A.: Massive Jejunal Diverticulosis With Steatorrhea and Megaloblastic Anemia Improved by Excision of Diverticula , Brit Med J 2:58, 1959.Crossref 15. Watson, C. M.: Diverticula of Jejunum: A Case With Enterolith Causing Intestinal Obstruction , Surg Gynec Obstet 38:67, 1924.

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1963

References

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