Application Value of Gastric Contrast-Enhanced Ultrasound in the Diagnosis of Extraluminal Duodenal Diverticulum

Jingya ZHANG; Yanlong LIU

doi:10.3881/j.issn.1000-503X.16656

PDF(1011 KB)

Acta Academiae Medicinae Sinicae ›› 2025, Vol. 47 ›› Issue (5) : 733-737. DOI: 10.3881/j.issn.1000-503X.16656

Clinical Application of Gastrointestinal Ultrasound

Application Value of Gastric Contrast-Enhanced Ultrasound in the Diagnosis of Extraluminal Duodenal Diverticulum

Author information +

History +

Abstract

Objective To evaluate the value of gastric contrast-enhanced ultrasound in diagnosing extraluminal duodenal diverticulum. Methods A retrospective analysis was conducted on 40 cases of extraluminal duodenal diverticula confirmed by upper gastrointestinal barium meal and gastroduodenoscopy,all of whom underwent gastric contrast-enhanced ultrasound examination.The detection rate and imaging features of duodenal diverticula were retrospectively analyzed. Results Gastric contrast-enhanced ultrasound detected 34 out of 40 cases of extraluminal duodenal diverticula,with the detection rate (85.0%) higher than that (10.0%,4/40) of conventional fasting ultrasound (P<0.001).Gastric contrast-enhanced ultrasound demonstrated higher detection rate for single diverticula than for multiple diverticula (97.1% vs.44.4%,P<0.001) and was particularly effective for duodenal diverticula in the descending segment (91.7%).According to imaging features,duodenal diverticula were classified into sac-like,gas-containing mass,and air-line types. Conclusion Gastric contrast-enhanced ultrasound facilitates the detection of extraluminal duodenal diverticula in the descending segment,allows concurrent visualization of biliary-pancreatic system pathologies,and enables comprehensive assessment of the association between duodenal diverticula and biliary-pancreatic diseases,demonstrating significant clinical value.

Key words

gastric contrast-enhanced ultrasound / duodenal diverticulum / extraluminal diverticulum

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

Jingya ZHANG , Yanlong LIU. Application Value of Gastric Contrast-Enhanced Ultrasound in the Diagnosis of Extraluminal Duodenal Diverticulum[J]. Acta Academiae Medicinae Sinicae. 2025, 47(5): 733-737 https://doi.org/10.3881/j.issn.1000-503X.16656

References

List( Publishing order | Descend order by publishing year | Descend order by cited within ) Chart analysis

[1]	Oukachbi N, Brouzes S. Management of complicated duodenal diverticula[J]. J Visc Surg, 2013, 150(3):173-179. DOI:10.1016/j.jviscsurg.2013.04.006. Cited in this article [1]

[2]	文红华, 陈刚文, 李先泰, 等. 低张饮水后MRCP对十二指肠憩室分型及与胆道梗阻相关性的价值[J]. 医学影像学杂志, 2021, 31(3):463-467.DOI:10.13929/j.issn.1006-9011.2021.03.023. Cited in this article [2]

[3]	国家卫生健康委员会. 胃癌诊疗规范(2018年版)[J]. 中华消化病与影像杂志(电子版) 2019, 9(3):118-144. DOI:10.3877/cma.j.issn.2095-2015.2019.03.002. Cited in this article [1]

[4]	赫捷, 陈万青, 李兆申, 等. 中国胃癌筛查与早诊早治指南(2022,北京)[J]. 中华肿瘤杂志, 2022, 44(7):634-666.DOI:10.3760/cma.j.cn112152-20220617-00438. Cited in this article [1]

[5]	崔雷雷, 路萌, 康洁, 等. 多层螺旋CT在十二指肠降部憩室中的诊断价值及其与胆管疾患的相关性[J]. 中国老年学杂志, 2020, 40(10):2082-2085.DOI:10.3969/j.issn.1005-9202.2020.10.037. Cited in this article [1]

[6]	刘国红, 卞光利, 彭爱琴, 等. 十二指肠憩室少见并发症的影像表现[J]. 医学影像学杂志, 2019, 29(8):1437-1440.DOI:10.3969/j.issn.1006-9011.2019.08.033. Cited in this article [1]

[7]	闻曲, 吴承堂, 朱茗, 等. 十二指肠憩室的诊断与治疗(附110例报告)[J]. 中国普外基础与临床杂志, 2005, 12(1):41-42.DOI:10.3969/j.issn.1007-9424.2005.01.014. Cited in this article [2]

[8]	徐朱烽, 嵇卫英, 黄立萍. 多层螺旋CT对十二指肠憩室的诊断价值[J]. 现代医用影像学, 2023, 32(1):97-100. DOI:10.3969/j.issn.1006-7035.2023.01.028. Cited in this article [1]

[9]	江华, 廖泉, 陈革, 等. 十二指肠憩室及其并发症的诊治体会[J]. 临床外科杂志, 2005, 13(4):258-259.DOI:10.3969/j.issn.1005-6483.2005.04.028. Cited in this article [1]

[10]	Handaya AY, Utomo BP, Andrew J, et al. Combination of Cattell-Braasch and Kocher maneuver in laparotomy for diverticular resection in the third part of the duodenum:a case report[J]. Ann Med Surg (Lond), 2023, 85(5):2141-2144.DOI:10.1097/MS9.0000000000000598. Cited in this article [1]

[11]	Díaz Alcázar MDM, Martín-Lagos Maldonado A, García Robles A. Lemmel syndrome:an uncommon complication of periampular duodenal diverticulum[J]. Rev Esp Enferm Dig, 2021, 113(6):477-478.DOI:10.17235/reed.2020.7537/2020. Cited in this article [1]

[12]	Bakula B, Romic I, Sever M, et al. Duodenal diverticulum causing obstructive jaundice - Lemmel’s syndrome[J]. Rev Esp Enferm Dig, 2021, 113(5):375-377.DOI:10.17235/reed.2020.7516/2020. Cited in this article [1]

[13]	杨小庆, 龚永驰, 汪盛齐, 等. MRCP对乳头旁憩室综合征的诊断价值[J]. 实用放射学杂志, 2006, 22(10):1229-1231.DOI:10.3969/j.issn.1002-1671.2006.10.017. Cited in this article [1]

[14]	项斌, 刘鹏飞, 夏惠治, 等. 十二指肠乳头旁憩室综合征28例临床分析[J]. 临床和实验医学杂志, 2007, 6(11):147-148.DOI:10.3969/j.issn.1671-4695.2007.11.073. Cited in this article [1]

[15]	Ozogul B, Ozturk G, Kisaoglu A, et al. The clinical importance of different localizations of the papilla associated with juxtapapillary duodenal diverticula[J]. Can J Surg, 2014, 57(5):337-341.DOI:10.1503/cjs.021113. Cited in this article [1]

[16]	Dündar İ, Göya C, Hattapoğlu S, et al. Clinical impacts of juxtapapillary duodenal diverticulum detected on computed tomography[J]. Curr Med Imaging, 2022, 18(3):346-352.DOI:10.2174/1573405617666211126153042. Cited in this article [1]