title: Jejunal Diverticulitis.
abstract: BACKGROUND
  Jejunal diverticulitis is a rare clinical entity often overlooked by physicians as a cause for abdominal pain. Although diagnostic capabilities improved in recent years, there is little data about diverticular disease in the proximal small bowel. The aim of this study is to present the clinical course and management in a series of eight cases of jejunal diverticulitis and possible therapeutic interventions.
  
  
  METHODS
  A cohort retrospective analysis of all patients admitted for acute jejunal diverticulitis between January 2010 and June 2015 was conducted. Patient demographics, clinical, and surgical outcome were recorded and analyzed.
  
  
  RESULTS
  Eight patients were admitted for acute jejunal diverticulitis with a mean age of 72.1 (range 55-87) years. Clinical presentation included six patients (75%) with a sealed perforation and only one patient demonstrated distant pneumoperitoneum. All patients were treated initially without surgery and only one patient required surgery because of diverticular complications. Recurrent episodes occurred in two patients (25%). Colonoscopy was performed in all patients after hospitalization that revealed large bowel diverticulosis in all patients (100%). Median follow-up was 8.2 months (3-15 months).
  
  
  CONCLUSIONS
  Jejunal diverticulitis can be initially treated conservatively but complicated disease should be considered for surgical management. Further study is required on the relationship between small and large bowel diverticulosis.
authors.affiliation: 1 Department of Surgery and Transplantation, Chaim Sheba Medical Center , Ramat Gan, Israel .|2 Faculty of Medicine, Tel Aviv University , Tel Aviv, Israel .
authors.forename: Nir
authors.initials: N
authors.lastname: Horesh
authors.affiliation: 2 Faculty of Medicine, Tel Aviv University , Tel Aviv, Israel .|3 Department of Radiology, Chaim Sheba Medical Center , Ramat Gan, Israel .
authors.forename: Eyal
authors.initials: E
authors.lastname: Klang
authors.affiliation: 1 Department of Surgery and Transplantation, Chaim Sheba Medical Center , Ramat Gan, Israel .|2 Faculty of Medicine, Tel Aviv University , Tel Aviv, Israel .
authors.forename: Aviad
authors.initials: A
authors.lastname: Gravetz
authors.affiliation: 1 Department of Surgery and Transplantation, Chaim Sheba Medical Center , Ramat Gan, Israel .|2 Faculty of Medicine, Tel Aviv University , Tel Aviv, Israel .
authors.forename: Yehonatan
authors.initials: Y
authors.lastname: Nevo
authors.affiliation: 1 Department of Surgery and Transplantation, Chaim Sheba Medical Center , Ramat Gan, Israel .|2 Faculty of Medicine, Tel Aviv University , Tel Aviv, Israel .
authors.forename: Imri
authors.initials: I
authors.lastname: Amiel
authors.affiliation: 2 Faculty of Medicine, Tel Aviv University , Tel Aviv, Israel .|3 Department of Radiology, Chaim Sheba Medical Center , Ramat Gan, Israel .
authors.forename: Michal Marianne
authors.initials: MM
authors.lastname: Amitai
authors.affiliation: 1 Department of Surgery and Transplantation, Chaim Sheba Medical Center , Ramat Gan, Israel .|2 Faculty of Medicine, Tel Aviv University , Tel Aviv, Israel .
authors.forename: Danny
authors.initials: D
authors.lastname: Rosin
authors.affiliation: 1 Department of Surgery and Transplantation, Chaim Sheba Medical Center , Ramat Gan, Israel .|2 Faculty of Medicine, Tel Aviv University , Tel Aviv, Israel .
authors.forename: Mordechai
authors.initials: M
authors.lastname: Gutman
authors.affiliation: 1 Department of Surgery and Transplantation, Chaim Sheba Medical Center , Ramat Gan, Israel .|2 Faculty of Medicine, Tel Aviv University , Tel Aviv, Israel .
authors.forename: Oded
authors.initials: O
authors.lastname: Zmora
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D000369:Aged, 80 and over; D003113:Colonoscopy; D000072700:Conservative Treatment; D004238:Diverticulitis / Q000150:complications / Q000601:surgery / Q000628:therapy*; D043963:Diverticulosis, Colonic / Q000150:complications; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D007579:Jejunal Diseases / Q000150:complications / Q000601:surgery / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011027:Pneumoperitoneum / Q000209:etiology; D012008:Recurrence; D012189:Retrospective Studies