Clinical impacts of juxtapapillary duodenal diverticulum detected on computed tomography

dc.authorid0000-0003-4781-9729en_US
dc.contributor.authorDündar, İlyas
dc.contributor.authorGöya, Cemil
dc.contributor.authorHattapoğlu, Salih
dc.contributor.authorÖzkaçmaz, Sercan
dc.contributor.authorÖzgökçe, Mesut
dc.contributor.authorTürkoğlu, Saim
dc.contributor.authorTürko, Ensar
dc.date.accessioned2022-05-06T13:18:16Z
dc.date.available2022-05-06T13:18:16Z
dc.date.issued2022en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalıen_US
dc.descriptionWOS:000784652900003
dc.descriptionPMID: 34825876
dc.description.abstractBackground: Diverticula are commonly observed in the duodenum. Duodenal Diverticulum (DD) usually does not give symptoms throughout life and is diagnosed by coincidence. However, it may present with different symptoms in patients. Objective: This study aims to evaluate the prevalence of DD and Juxtapapillary Duodenal Diverticilium (JDD) and its association with other possible pathologies and to determine its clinical impact by using Computed Tomography (CT). Methods: This retrospective observational study, which was taken consecutively between the years of 2013-2020, was evaluated in the Radiology Department. The total number of cases was 4850 (male-2440; female-2410). CT images were evaluated by two experienced radiologists at the workstation. DD and JDD prevalence and clinical findings in the hospital registry system were examined. Results: The age of the patients included in the study ranged from 17 to 92 years (mean age 46.94 +/- 16.42). In patients with DD (female-130; male-101), mean age was 62.24 +/- 12.69 (21-92). The prevalence of DD was 4.76% (n=231). The prevalence of JDD was 4.02% (n=195) and increased with age (p<0.01). The average diameter of the JDD was measured as 23.29 +/- 8.22 (9.5-55.3) mm. A significant positive correlation was found between age and DD diameter (p=0.039). DDs were found most commonly 84.42% (n=195) in the second segment of the duodenum as JDD. In patients with JDD, the mean diameter of choledochus and wirsung canal were 6.7 +/- 2.4 (3-15.3) mm and 0.31 +/- 0.1 (0.1-6.5) mm respectively. The choledochal diameter was correlated with the JDD size (p - 0.004). Cholelithiasis (n 56), choledocholithiasis (n 20), cholecystitis (n=52), diverticulitis (n=15), duodenitis (n=37), pancreatitis (n=5) and hiatal hernia (n=60) with JDD were observed. Periampullary carcinoma was detected in one patient. Conclusion: Our study shows that cholelithiasis, choledocholithiasis, cholecystitis, diverticulitis, duodenitis, pancreatitis may be associated with JDD. Therefore, in contrast-enhanced abdominal CT scans taken for various reasons, investigation of the presence and characteristics of JDD and detection of pathologies that may be associated with JDD are important for patients to benefit from early diagnosis and treatment opportunities and to take precautions against possible complications.en_US
dc.identifier.citationDündar, İ., Göya, C., Hattapoğlu, S., Özkaçmaz, S., Özgökçe, M., Türkoğlu, S. ve diğerleri (2022). Clinical impacts of juxtapapillary duodenal diverticulum detected on computed tomography. Current Medical Imaging, 18(3), 346-352.en_US
dc.identifier.doi10.2174/1573405617666211126153042
dc.identifier.endpage352en_US
dc.identifier.issn1573-4056
dc.identifier.issn1875-6603
dc.identifier.issue3en_US
dc.identifier.pmid34825876
dc.identifier.scopus2-s2.0-85126962738
dc.identifier.scopusqualityQ3
dc.identifier.startpage346en_US
dc.identifier.urihttps://www.eurekaselect.com/article/119092
dc.identifier.urihttps://hdl.handle.net/11468/9808
dc.identifier.volume18en_US
dc.identifier.wosWOS:000784652900003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorHattapoğlu, Salih
dc.language.isoenen_US
dc.publisherBentham Science Publ Ltd.en_US
dc.relation.ispartofCurrent Medical Imaging
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComputed tomographyen_US
dc.subjectJuxtapapillary duodenal diverticulumen_US
dc.subjectDiverticulitisen_US
dc.subjectCholelithiasisen_US
dc.subjectCholecystitisen_US
dc.subjectPancreatitisen_US
dc.titleClinical impacts of juxtapapillary duodenal diverticulum detected on computed tomographyen_US
dc.titleClinical impacts of juxtapapillary duodenal diverticulum detected on computed tomography
dc.typeArticleen_US

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