A Case of Intraluminal Duodenal Diverticulum (IDD) Treated by Endoscopic Excision.
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Accession number;03A0197687
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| Title;A Case of Intraluminal Duodenal Diverticulum (IDD) Treated by Endoscopic Excision. |
| Author;
NOTO MASAHIRO
(Kanazawa Univ., Graduate School of Medical Sci., JPN)
NINOMIYA ITARU
(Kanazawa Univ., Graduate School of Medical Sci., JPN)
SASAKI SHOZO
(Kanazawa Univ., Graduate School of Medical Sci., JPN)
NISHIMURA GEN'ICHI
(Kanazawa Univ., Graduate School of Medical Sci., JPN)
FUJIMURA TAKASHI
(Kanazawa Univ., Graduate School of Medical Sci., JPN)
KAYAHARA MASATO
(Kanazawa Univ., Graduate School of Medical Sci., JPN)
SHIMIZU KOICHI
(Kanazawa Univ., Graduate School of Medical Sci., JPN)
OTA TETSUO
(Kanazawa Univ., Graduate School of Medical Sci., JPN)
MIWA KOICHI
(Kanazawa Univ., Graduate School of Medical Sci., JPN)
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Journal Title;Gastroenterol Endosc
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Journal Code:G0608B
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ISSN:0387-1207
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VOL.45;NO.3;PAGE.261-266(2003)
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| Figure&Table&Reference;FIG.10, TBL.1, REF.20 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A 32-year-old woman visited our hospital complaining of postprandial epigastralgia and vomiting. She had occasionally had the same symptom from childhood. Hypotonic duodenography revealed a barium-filled pear-shaped sac surrounded by thin radiolucent line in the second part of duodenum. The findings are most suggestive of intraluminal duodenal diverticulum (IDD). We performed an endoscopic excision of IDD with 2-channel fiberscope. After inversion of the diverticular sac to the oral side by forceps, sac was excised by polypectomy-snare with a high voltage electric current. Histological findings of the excised specimen revealed normal duodenal mucosa on both sides of the sac. After this excision she obtained complete relief of the symptom. IDD is a rare congenital anomaly of the duodenum. As far as we know, 45 cases of IDD including our case have been reported in Japan. Furthermore, endoscopic removal of the diverticular sac would be a minimal invasive and effective method in the management of IDD. (author abst.) |
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