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  • Title: Surgical management of pancreaticobiliary disease associated with juxtapapillary duodenal diverticula: case series and review of the literature.
    Author: Teven CM, Grossman E, Roggin KK, Matthews JB.
    Journal: J Gastrointest Surg; 2012 Jul; 16(7):1436-41. PubMed ID: 22392090.
    Abstract:
    INTRODUCTION: Juxtapapillary duodenal diverticula (DD), although usually asymptomatic, are occasionally associated with pancreaticobiliary conditions such as recurrent bile duct stones, cholangitis, and pancreatitis. MATERIALS AND METHODS: An unusual case of DD associated with a dorsal duct stricture in a patient with recurrent pancreatitis and pancreas divisum is presented along with three additional instances of surgically treated DD and a review of the literature. RESULTS: The role of surgical intervention depends upon the specific nature of the presentation and the anatomical relationship of the diverticulum to the ampullary and pancreaticobiliary ductal system. CONCLUSION: Operations that divert bile and the food stream from DD are preferred over diverticulectomy.
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