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401 caso clínico Diverticulitis de intestino delgado en paciente con enfermedad de Crohn - M. Hevia et al Destacamos con este reporte el caso de un paciente con EC que presenta una diverticulitis yeyunal aguda complicada con perforación contenida y colección intraabdominal secundaria, que resuelve favorablemente con manejo médico conservador siendo esta una opción en este grupo de pacientes. Referencias 1. Wild JR, Shiwani MH, Ullah Q. Jejunal diverticulitis. J Coll Physicians Surg Pak 2009; 19: 120-2. 2. Woods K, Williams E, Melvin W, Sharp K. Acquired jejunoileal diverticulosis and its complications: a review of the literature. Am Surg 2008; 74: 849-54. 3. Liu CY, Chang WH, Lin SC, Chu CH, Wang TE, Shih SC. Analysis of clinical manifestations of symptomatic acquired jejuno-ileal disease. World J Gastroenterol 2005; 11: 5557-60. 4. Kassir R, Boueil-Bourlier A, Baccot S, Abbpud K, Dubois J, Petcu C, et al. Jejuno-ileal diverticulitis: Etiopathogenicity, diagnosis and management. Int J Surg Case Rep 2015; 10: 151-3. 5. Horesh N, Klang E, Gravetz A, Nevo Y, Amiel I, Amitai MM, et al. Jejunal Diverticulitis. J Laparoendosc Adv Surg Tech A. 2016; 26: 596-9. 6. Akhrass R, Yaffe MB, Fischer C, Ponsky J, Shuck JM. Small-bowel diverticulosis: perceptions and reality. J Am Coll Surg 1997; 184: 383-8. 7. Zager JS, Garbus JE, Shaw JP, Cohen MG, Garber SM. Jejunal diverticulosis: a rare entity with multiple presentations, a series of cases. Dig Surg 2000; 17: 643-5. 8. Woubet TK, Josef F, Jens H. Complicated small-bowel diverticulosis: a case report and review of the literature. World J Gastroenterol 2007; 13: 2240-2. 9. Krishnamurthy S, Kelly MM, Rohrmann CA, Schuffler MD. Jejunal diverticulosis. A heterogenous disorder caused by a variety of abnormalities of smooth muscle or myenteric plexus. Gastroenterology 1983; 85: 538-47. 10. Tursi A, Elisei W, Inchingolo CD, Nenna R, Picchio M, Ierardi E, et al. Chronic diverticulitis and Crohn’s disease share the same expression of basic fibroblastic growth factor, syndecan 1 and tumour necrosis factor-α. J Clin Pathol 2014; 67: 844-6. 11. Rosemar A, Ivarsson ML, Borjesson L, Holmdahl L. Increased concentration of tissue-degrading matrix metalloproteinases and their inhibitor in complicated diverticular disease. Scand J Gastroenterol 2007; 2: 215- 20. 12. Saunders S, Jalkanen M, O’Farrell S, Bernfield M. Molecular cloning of syndecan, an integral membrane proteoglycan. J Cell Biol 1989; 108: 1547-56. 13. Fernig DG, Gallagher JT. Fibroblast growth factors and their receptors: an information network controlling tissue growth, morphogenesis and repair. Prog Growth Factor Res 1994; 5: 353-77. 14. Altadill A, Eiro N, González LO, Junquera S, González Quintana JM, Sánchez MR, Andicoechea A, et al. Comparative Analysis of the Expression of Metalloproteases and Their Inhibitors in Resected Crohn’s Disease and Complicated Diverticular Disease. Inflamm Bowel Dis 2012; 18: 120-30. 15. Zapata R, Rojas C, Gaete F. Diverticulosis yeyunal: una causa infrecuente de hemorragia digestiva. Caso clínico. Rev Med Chile 2000; 128: 1133-8. 16. Mantas D, Kykalos S, Patsouras D, Kouraklis G. Small intestine diverticula: Is there anything new? World J Gastrointest Surg 2011; 3: 49-53. 17. Levack M, Madariaga ML, Kaafarani H. Non-operative successful management of a perforated small bowel diverticulum. World J Gastroenterol 2014; 20: 18477-9. 18. Patel VA, Jefferis H, Spiegelberg B, Iqbal Q, Prabhudesai A, Harris S. Jejunal diverticulosis is not always a silent spectator: A report of 4 cases and review of the literatura. World J Gastroenterol 2008; 14: 5916-9. 19. Novose R, Valenciano JS, De Souza Lima JS, Nascimento EF, Silva CM, Martínez CA. Jejunal diverticular perforation due to enterolith. Case Rep Gastroenterol 2015; 5: 445-51. 20. Macari M, Faust M, Liang H, Pachter HL. CT of jejunal diverticulitis: imaging findings, differential diagnosis, and clinical management. Clin Radiol 2007; 62: 73-7. 21. Liu D, Chen L. Management of the total bowel diverticular disease. Hepatogastroenterology 2009; 56: 1679- 82. 22. Spasojevic M, Naesgaard JM, Ignjatovic D. Perforated miggut diverticulitis: Revisited. World J Gastroenterol 2012; 18: 4714-20. 23. Chendrasekhar A, Timberlake GA. Perforated jejunal diverticula. An analysis of reported cases. Amm Surg 1995, 61: 984-8. 24. Songne B, Costaglioli B, Michot F, Teniere P, Scotte M. Management of surgical complications of small-bowel diverticulosis. Gastroenterol Clin Biol 2005; 29: 415-8. 25. Johnson KN, Franhauser GT, Chapital AB, Merritt MV, Johnson DJ. Emergency management of complicated jejunal diverticulosis. Am J Surg 2014; 80: 600-3. 26. De Minicis S, Antonini F, Belfiori V, Lo Cascio M, Marraccini B, Piergallini S, et al. Small bowel diverticulitis with severe anemia and abdominal pain. World J Clin Cases 2015; 3: 462-5. Rev Med Chile 2017; 145: 397-401


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