Gastric diverticulum
Updates to Article Attributes
Gastric diverticula are a sac-like projectionprojections that usually originate from the gastric fundus. It isThey are the least common gastrointestinal diverticuladiverticulum.
Epidemiology
Gastric diverticula are rare and commonly detected incidentally. The incidence varies from 0.01% to 0.11% at endoscopy studies 2.
Clinical presentation
Usually asymptomatic and, in. In some cases, could presents they may present as a vague sensation of fullness immediately after meals or as gastric discomfort 2.
Complications like ulceration, perforation, torsion, hemorrhage and malignancy are rare and an indication for surgical treatment 3.
Pathology
They may be congenital (true diverticula that have all layers of the gastric wall) or acquired (false diverticula) and arise virtually anywhere along the stomach 4.
Radiographic features
Fluoroscopy
A well defined saccular collection of barium protractingoutpouching from the gastric wall.
CT
A well defined saccular collection of fluid or gas, being filled by iodinated oral contrast, that demonstrates communication with the gastric cavity (fills with iodinated oral contrast).
Treatment and prognosis
Surgical resection is recommended when the diverticulum is large, symptomatic or complicated 3.
Differential diagnosis
In imagingcross-sectional studies gastric diverticula can mimic an a left adrenal mass. In fluoroscopic studies, they may mimic a gastric ulcer.
-<p><strong>Gastric diverticula</strong> are a sac-like projection that usually originate from the gastric fundus. It is the least common gastrointestinal diverticula. </p><h4>Epidemiology</h4><p>Gastric diverticula are rare and commonly detected incidentally. The incidence varies from 0.01% to 0.11% at endoscopy studies <sup>2</sup>.</p><h4>Clinical presentation</h4><p>Usually asymptomatic and, in some cases, could presents as a vague sensation of fullness immediately after meals or as gastric discomfort <sup>2</sup>. </p><p>Complications like ulceration, perforation, torsion, hemorrhage and malignancy are rare and an indication for surgical treatment <sup>3</sup>.</p><h4>Pathology</h4><p>They may be congenital (true diverticula that have all layers of the gastric wall) or acquired (false diverticula) and arise virtually anywhere along the stomach <sup>4</sup>.</p><h4>Radiographic features</h4><h5>Fluoroscopy</h5><p>A well defined saccular collection of barium protracting from the gastric wall. </p><h5>CT</h5><p>A well defined saccular collection of fluid or gas, being filled by iodinated oral contrast, that demonstrates communication with the gastric cavity. </p><h4>Treatment and prognosis</h4><p>Surgical resection is recommended when the diverticulum is large, symptomatic or complicated <sup>3</sup>.</p><h4>Differential diagnosis</h4><p>In imaging studies gastric diverticula can mimic an <a href="/articles/adrenal-lesions">adrenal mass</a>.</p><ul></ul>- +<p><strong>Gastric diverticula</strong> are sac-like projections that usually originate from the gastric fundus. They are the least common gastrointestinal diverticulum. </p><h4>Epidemiology</h4><p>Gastric diverticula are rare and commonly detected incidentally. The incidence varies from 0.01% to 0.11% at endoscopy studies <sup>2</sup>.</p><h4>Clinical presentation</h4><p>Usually asymptomatic. In some cases they may present as a vague sensation of fullness immediately after meals or as gastric discomfort <sup>2</sup>. </p><p>Complications like ulceration, perforation, torsion, hemorrhage and malignancy are rare and an indication for surgical treatment <sup>3</sup>.</p><h4>Pathology</h4><p>They may be congenital (true diverticula that have all layers of the gastric wall) or acquired (false diverticula) and arise virtually anywhere along the stomach <sup>4</sup>.</p><h4>Radiographic features</h4><h5>Fluoroscopy</h5><p>A well defined saccular collection of barium outpouching from the gastric wall. </p><h5>CT</h5><p>A well defined saccular collection of fluid or gas that demonstrates communication with the gastric cavity (fills with iodinated oral contrast).</p><h4>Treatment and prognosis</h4><p>Surgical resection is recommended when the diverticulum is large, symptomatic or complicated <sup>3</sup>.</p><h4>Differential diagnosis</h4><p>In cross-sectional studies gastric diverticula can mimic a left <a href="/articles/adrenal-lesions">adrenal mass</a>. In fluoroscopic studies, they may mimic a <a href="/articles/gastric-ulcer">gastric ulcer</a>.</p><ul></ul>
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