Objective: To test the results of treatment of iuxtapapillary duodenal diverticula by direct attack and description of postoperative complications and subsequent surgical operations. Method: Retrospective analysis of case-records of ten patients with symptomatic duodenal diverticula in 1991-2002 in a regional surgical department. Clinical check-up examinations of all patients were made in November 2002. Results: The symptomatology of diverticula was diverticvulitis 2×, haemorrhage 1×, dyspeptic syndrome 4×, mechanical pressure of the diverticulum on the ductus choledochus 3×.Three parapapillary and 7 peripapillary diverticula were involved. The papilla led into the neck of the diverticulum 5× and into is lower part 2×. Performed types of operations: simple extraduodenal diverticulotomy 3×, partial excision of the diverticulum and anastomosis of its remnant with Roux loop 1×, transduodenal diverticulectomy 2×, excision of the diverticulum and reimplantation of the ductus choledochus and ductus pancreatitus into a separate incision of the duodenal wall 1×, excision of the diverticulumand reimplantation of the ductus choledochus and ductus pancraticus into the original site 1×, excision of the diverticulum, papillosphincteroplasty and reimplantation of the orifice of the ductus choledochus into the original site 1x,excision of the diverticulum from direct transverse duodenotomy 1×. One patient died from dehiscence of the duodenal suture, two had a transient duodenal fistula. Three patients were free from complicationd after operation, one suffered from dyspeptic syndrome, two had attacks of pancreatitis, two had after 4 years a papillosphincteroplasty and one a choledochoduodenostomy. Conclusion: Only symptomatic diverticula are indicated for surgery. Parapapillary diverticula are resected extraduodenally, peripapillary diverticula are resectedc transduodenally with confirmation of the orifice of the papilla, possibly its reimplantation. Concurrent choledocholithiasis or stenosis of the papillare are frequent. If they are not treated a subsequent operation is necessary which eliminates the persisting complaints

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