title: Surgical management of pancreaticobiliary disease associated with juxtapapillary duodenal diverticula: case series and review of the literature.
abstract: BACKGROUND
  Juxtapapillary duodenal diverticula (DD), although usually asymptomatic, are occasionally associated with pancreaticobiliary conditions such as recurrent bile duct stones, cholangitis, and pancreatitis.
  
  
  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.
  
  
  CONCLUSIONS
  Operations that divert bile and the food stream from DD are preferred over diverticulectomy.
authors.affiliation: Department of Surgery, University of Chicago Medical Center, 5841 South Maryland Avenue, MC 5029, Chicago, IL 60637, USA.
authors.forename: Chad M
authors.initials: CM
authors.lastname: Teven
authors.forename: Eric
authors.initials: E
authors.lastname: Grossman
authors.forename: Kevin K
authors.initials: KK
authors.lastname: Roggin
authors.forename: Jeffrey B
authors.initials: JB
authors.lastname: Matthews
mesh_terms: D000328:Adult; D000713:Anastomosis, Roux-en-Y; D002761:Cholangitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D042883:Choledocholithiasis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004386:Duodenum / Q000601:surgery; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008099:Liver / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*