Gastric diverticula

Reich, Nathaniel E.

doi:10.1007/bf03014635

Cited by 25 publications

(7 citation statements)

References 9 publications

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“…This premise was supported by Reich [21], who described GD in the fetus, as well as by Lewis [22], who reported gastrointestinal diverticula in the fetus as early as 1908.…”

Section: Pathogenesissupporting

confidence: 58%

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Gastric Diverticulum: A Comprehensive Review

et al. 2018

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Background: Gastric diverticula (GD) are outpouchings of the stomach wall that typically form in the fundus. They are the least common gastrointestinal diverticula, and are very rare anatomic abnormalities overall. Summary: Although most GD are asymptomatic and are usually discovered incidentally during routine diagnostic testing, they can present with variable symptoms. Occasionally, complications can develop that may be life-threatening and are indications for surgical management. Key Messages: Here, we provide a literature review of GD where we discuss the pathogenesis, clinical manifestations, investigations and diagnostic approach, and various management options for this uncommon disorder.

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“…This premise was supported by Reich [21], who described GD in the fetus, as well as by Lewis [22], who reported gastrointestinal diverticula in the fetus as early as 1908.…”

Section: Pathogenesissupporting

confidence: 58%

“…It is well documented that asymptomatic individuals do not require any treatment and can be left alone [16, 21, 44, 45]. The majority of diverticula is congenital, accidentally discovered, and asymptomatic, and therefore requires no treatment.…”

Section: Managementmentioning

confidence: 99%

Gastric Diverticulum: A Comprehensive Review

et al. 2018

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“…True diverticula possess all layers of the gastric wall, and it is believed that these congenital diverticula occur as a result of the splitting of the longitudinal muscular fibers at the level of the cardia, leaving only the circular muscle fibers present in the gastric wall and thus creating a weakening that allows the diverticula to form during the fetal period. Fetal GDs have been reported by Reich, 9 and Lewis described gastrointestinal diverticula in embryos as early as 1908. 10 False diverticula, also known as acquired diverticula, do not carry all layers of the gastric wall.…”

Section: Discussionmentioning

confidence: 96%

Gastric Diverticulum: “A Wayside House of Ill Fame” with a Laparoscopic Solution

Dubois¹,

Powell²,

Voeller³

2012

JSLS

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“…As reported in the literature, congenital gastric diverticula are true diverticula, mostly located in the posterior wall of the fundus, 2 cm below the oesophagogastric junction and 3 cm from the lesser curve (70%). They contain all layers of the gastric wall, and it is believed that they occur as a result of splitting of the longitudinal muscular fibers at the cardia level, leaving only circular muscle fibers in the gastric wall through which a diverticulum can develop during the fetal period [ 9 , 10 ]. Conversely, false diverticula are acquired, less common and typically located in the antrum.…”

Section: Discussionmentioning

confidence: 99%

“…The appropriate treatment for both symptomatic and asymptomatic GD is still a matter of debate. It is well documented that there is no specific therapeutic strategy for asymptomatic diverticula [ 10 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Syncope with Surprise: An Unexpected Finding of Huge Gastric Diverticulum

Podda

Atzeni

Campanella

et al. 2016

Case Reports in Surgery

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A gastric diverticulum is a pouch protruding from the gastric wall. The vague long clinical history ranging between dyspepsia, postprandial fullness, and upper gastrointestinal bleeding makes this condition a diagnostic challenge. We present a case of large gastric diverticulum that has been diagnosed during clinical investigations for suspected cardiovascular issues in a patient admitted at the medical ward for syncope. A 51-year-old man presented to the medical department due to a syncopal episode occurring while he was resting on the beach after having his lunch, with concomitant vague epimesogastric gravative pain without any other symptom. A diagnosis of neuromediated syncopal episode was made by the cardiologist. Due to the referred epimesogastric pain, an abdominal ultrasound scan was carried out, showing perisplenic fluid. A CT scan of the abdomen was performed to exclude splenic lesions. The CT scan revealed a large diverticulum protruding from the gastric fundus. The upper gastrointestinal endoscopy visualized a large diverticular neck situated in the posterior wall of the gastric fundus, partially filled by undigested food. The patient underwent surgery, with an uneventful postoperative course. Histologic examination showed a full-thickness stomach specimen, indicative of a congenital diverticulum. At the 2nd month of follow-up, the patient was asymptomatic.

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Gastric diverticula

Cited by 25 publications

References 9 publications

Gastric Diverticulum: A Comprehensive Review

Gastric Diverticulum: A Comprehensive Review

Gastric Diverticulum: “A Wayside House of Ill Fame” with a Laparoscopic Solution

Syncope with Surprise: An Unexpected Finding of Huge Gastric Diverticulum

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