Surgical management of pancreaticobiliary disease associated with juxtapapillary duodenal diverticula: case series and review of the literature

Abstract

Introduction: Juxtapapillary duodenal diverticula (DD), although usually asymptomatic, are occasionally associated with pancreaticobiliary conditions such as recurrent bile duct stones, cholangitis, and pancreatitis.

Materials and 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.

Conclusion: Operations that divert bile and the food stream from DD are preferred over diverticulectomy.