We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Duodenal Diaphragm in the Adult

Arch Surg. 1961;83(6):878-882. doi:10.1001/archsurg.1961.01300180078014.
Text Size: A A A
Published online


Obstruction of the distal duodenum may result from congenital diaphragm, annular pancreas, pancreatic tumors, mesenteric vessel pressure, occluding veils and adhesions, megaduodenum, and other1-9 causes. Essentially, the obstruction is due to mechanical factors causing extrinsic occlusive pressure or to intrinsic occlusions, the result of ulcers, diaphragms, or other processes. This essay concerns the management of obstruction due to duodenal diaphragm in the adult.

It will be shown that in the adult chronic incomplete obstruction causes a proximal duodenal dilation and hypertrophy. Pylorospasm is at first associated to enable the duodenum to empty distally. After some time the pylorus may become permanently patulous, and distal emptying may then no longer be possible.

In infants, one of the most frequent causes of distal duodenal obstruction is congenital duodenal diaphragm. Duodenojejunostomy, first done by Stavely,10 has been the treatment of choice. Gross11 reports generally good results in a series of


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.