[Diagnosis and treatment of periampullary diverticulum].
OBJECTIVE
To provide a better surgical method for periampullary diverticulum, its teraninology and typing, and some experience in its diagnosis.


METHODS
In 11 cases of recurrent cholangitis or (and) pancreatitis resulting from periampullary diverticula juxta-ampullary diverticula was observed in 9, intra-ampullary diverticulum in 1, and ampullocele in 1. All patients underwent elective operation including combined diverticulo-sphincteroplasty (7 cases), diverticulectomy with sphincteroplasty (2), diverticulectomy (1), and papilloplasty (1).


RESULTS
The perioperative and long-term results were excellent. There were no recurrence and morbidity.


CONCLUSIONS
The combined diverticulo-sphincteroplasty is simpl, safe, effective for the treatment of juxta-ampullary diverticula.
Zhong
D
D
Department f General Surgery, First Affiliated Hospital, West China University of Medical Sciences, Chengdu 610041.
Jiang
L
L
D000328:Adult; D000368:Aged; D002761:Cholangitis / Q000209:etiology / Q000601:surgery; D004240:Diverticulum / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004378:Duodenal Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology / Q000601:surgery; D013105:Sphincterotomy, Transduodenal / Q000379:methods; D016896:Treatment Outcome