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Surgery General 8358b03c

True about small bowel diveicula-

A
Contains all the layers of bowel wall
B
Common in terminal ileum
C
Surgical treatment is not required
D
Seen on the mesenteric border
High-Yield Explanation
Ans. is 'd' i.e. Seen on the mesenteric border Small bowel is uncommon site for diveicula. In small bowel, duodenum is the most common site followed by jejunum and then ileum. They are mainly acquired type and are false diveicula i.e. their walls consists of only mucosa or submucosa. They are mainly seen at the mesenteric border. Small bowel diveicula can be associated with bacterial overgrowth, leading to vitamin B12 deficiency, megaloblastic anemia, malabsorption, and steatorrhoea. This is known as 'blind loop' syndrome and can be treated by a course of antibiotics. Mostly small bowel diveicula are symptomless unless some complication arises. Complications occur in 6 to 10% of patients and incldues diveiculitis, hemorrhage, perforation, intestinal obstruction and malabsorption. Duodenal diveicula are mainly seen on the medial border. Small bowel diveicula can be easily diagnosed by barium meal follow through study. Enteroclysis or Small bowel enema is the most sensitive test. Treatment is mainly medical Surgery is indicated only when complication arises.

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