EDITOR'S QUIZ: GI SNAPSHOT
Answer
| The first 150 words of the full text of this article appear below. |
From question on page 167
The diagnosis is small intestinal diverticulosis. Enteroscopy revealed multiple diverticula in the jejunum. There were shallow ulcerations in the diverticular orifice (fig 1) and mild luminal stenosis around the diverticulum (fig 2). More diverticula were revealed after instillation of the contrast agent (fig 3).
Small intestinal diverticulosis is rare, and 60–70% of cases are asymptomatic. The incidence ranges from 1.1% to 2.3% at enteroclysis, during postmortem examination or during surgical procedures. Most cases are found in patients who are in their seventh decade of life or older. The diverticula are most commonly distributed in the proximal small intestine, with 80% located in the jejunum, 15% located in the ileum and 5% located in both. Symptomatic diverticula have either acute or chronic manifestations. Chronic complications include malabsorption, chronic abdominal pain, intestinal pseudo-obstruction and chronic gastrointestinal bleeding. Acute complications include diverticulitis, abscess, perforation, intestinal obstruction and massive
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Gut 2007 56: 167.[Extract] [Full Text] [PDF]
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