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June 1953

DIVERTICULA OF THE DUODENUM: Indications for and Technique of Surgical Treatment

Author Affiliations

From the Department of Surgery, University of Cincinnati College of Medicine, and Cincinnati General Hospital.

AMA Arch Surg. 1953;66(6):846-856. doi:10.1001/archsurg.1953.01260030866015

IN MOST accounts of diverticula of the duodenum, it is argued that while diverticula are of relatively frequent occurrence, they seldom produce symptoms of any clinical significance and that most of them therefore may be disregarded so far as active surgical treatment is concerned. This conclusion is in accord with my own experience and belief, since I have had occasion to remove only three duodenal diverticula in a surgical experience of more than 25 years. On the other hand, it is incumbent to point out that at times diverticula in this position may account for persistent and distressing symptoms, and it is for this reason that the physician or surgeon should not disregard the fact that the presence of a diverticulum of the duodenum may be the sole cause of pain or vomiting.

It is well established that the duodenum is one of the frequent sites for the occurrence of

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