Diverticulosis of the small bowell, intraoperative finding
Diverticulosis de intestino delgado, hallazgo intraoperatorio
Diverticulose do intestino delgado, achado intraoperatório
Resumen:
Diverticulosis can occur in any part of the digestive tract. The topography of the small intestine is infrequent, it occurs mainly at the level of the jejunum and in 35% of cases it is associated with colonic diverticulosis.It is more common in people over 40 years of age. The diverticula decrease in size and number towards the distal sector.Usually the diagnosis is incidental, however, complications can occur, of which gastrointestinal bleeding and diverticulitis are frequently highlighted.It is suggested that dietary fiber deficiency would generate abnormalities in intestinal peristalsis, which together with pseudo-obstructive phenomena and high intraluminal pressure, would act in areas of focal weakness causing injury.We present the case of an 88-year-old patient with a colon occlusion who underwent Hartmann surgery. During the intraoperative period, jejunal diverticula were identified without complications.
La diverticulosis puede presentarse en cualquier sector del tubo digestivo. La topografía de intestino delgado es infrecuente, se presenta sobre todo a nivel del yeyuno y en un 35% de los casos se asocia con diverticulosis colónica. Es más frecuente en mayores de 40 años. Los divertículos van disminuyendo de tamaño y número hacia el sector distal. Habitualmente el diagnóstico es incidental, sin embargo, pueden presentar complicaciones de las cuales se destacan por frecuencia el sangrado gastrointestinal y la diverticulitis. Se plantea que la deficiencia de fibra dietética generaría anomalías en el peristaltismo intestinal, lo que junto con fenómenos pseudo-obstructivos y alta presión intraluminal, actuaría en áreas de debilidad focal provocando la lesión. Presentamos el caso de una paciente de 88 años con una oclusión de colon a la cual se le realizó una cirugía de Hartmann, en el intraoperatorio se identificó divertículos de yeyuno sin elementos complicaciones.
2021 | |
diverticulosis cirugía gástrica intestino delgado yeyuno complicaciones intraoperatorias oclusión intestinal cirugía de Hartmann colon diverticulosis gastric surgery small intestine jejunum intraoperative complications intestinal occlussion Hartmann surgery colon jejuno diverticulose cirurgia gástrica intestino delgado complicações intraoperatórias oclusão intestinal cirurgia de Hartmann colon |
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Español | |
Sociedad de Cirugía del Uruguay | |
Revista Cirugía del Uruguay | |
https://revista.scu.org.uy/index.php/cir_urug/article/view/4916 | |
Acceso abierto | |
CreativeCommons by-nc/4.0 |
Sumario: | Diverticulosis can occur in any part of the digestive tract. The topography of the small intestine is infrequent, it occurs mainly at the level of the jejunum and in 35% of cases it is associated with colonic diverticulosis.It is more common in people over 40 years of age. The diverticula decrease in size and number towards the distal sector.Usually the diagnosis is incidental, however, complications can occur, of which gastrointestinal bleeding and diverticulitis are frequently highlighted.It is suggested that dietary fiber deficiency would generate abnormalities in intestinal peristalsis, which together with pseudo-obstructive phenomena and high intraluminal pressure, would act in areas of focal weakness causing injury.We present the case of an 88-year-old patient with a colon occlusion who underwent Hartmann surgery. During the intraoperative period, jejunal diverticula were identified without complications. |
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