Duodenal Diverticulum Center - Brockton, MA
Brockton Gastroenterologist Doctors for Duodenal DiverticulumType of Physician: Gastroenterologist What is a Gastroenterologist? A subspecialty certification by the Board of Internal Medicine; practitioners focus on the stomach, intestines, colon, liver, and gallbladder (digestive organs). The gastroenterologist treats conditions such as abdominal pain, ulcers, diarrhea, cancer, and jaundice and they consult with surgeons when abdominal operations are indicated. 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Duodenal DiverticulumRead the Duodenal Diverticulum article » What is a duodenal diverticulum?A duodenal diverticulum (the plural of which is diverticula) is a pouch attached to the duodenum, the first part of the small intestine just past the stomach. There are two types of duodenal diverticula. The common type which is present in at least 6% of individuals, is one that sticks out from the duodenum, similar to the more common colonic diverticula. This is referred to as an "extramural" diverticulum. Extramural diverticula may vary in size from a few millimeters to a few centimeters. They usually are located in the area around the Papilla of Vater where the bile and pancreatic ducts enter the duodenum. A second, rare type of diverticulum is referred to as an "intramural" diverticulum. It does not protrude from the duodenum. Rather, it protrudes into the duodenal lumen (the hollow inside of the duodenum through which digesting food flows). Both types of diverticula, extramural and intramural, communicate with the lumen of the duodenum so that contents of the duodenum can enter the diverticulum. What causes a duodenal diverticulum?The cause of extramural diverticula is not definitely known; however, they are believed to be acquired (not present from birth) due to a herniation (protrusion) of the duodenum through a defect in the muscle of the wall of the duodenum, perhaps in an area where arteries pass through the intestinal muscle to nourish the lining of the intestine. What complications are caused by a duodenal diverticulum?Extramural diverticula usually cause no symptoms. Occasionally, they may rupture (just like colonic diverticula) and lead to a pocket of inflammation adjacent to the duodenum with or without infection. This may result in all the signs and symptoms of intra-abdominal inflammation pain, fever, and abdominal tenderness. If the diverticulum is very close to the ... Recommended Reading Related to Duodenal DiverticulumGallstones facts
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