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Acquired double pylorus: Clinical and endoscopic characteristics and four-year follow-up observations.
- Source :
-
World journal of gastroenterology [World J Gastroenterol] 2016 Feb 14; Vol. 22 (6), pp. 2153-8. - Publication Year :
- 2016
-
Abstract
- Double pylorus (DP), or duplication of the pylorus, is an uncommon condition that can be either congenital or acquired. Acquired DP (ADP) occurs when a peptic ulcer erodes and creates a fistula between the duodenal bulb and the distal stomach. The clinical features and endoscopic characteristics of four patients with ADP were reviewed and compared with previously reported cases. An accessory channel connects the lesser curvature of the prepyloric antrum with the duodenal bulb, and in all cases, a peptic ulcer was located in or immediately adjacent to the accessory channel. In one of the patients, the bridge between the double-channel pylorus disappeared, resulting in a single large opening and duodenal kissing ulcer after two years and three months. Finally, nonsteroidal anti-inflammatory drugs, Helicobacter pylori and other risk factors associated with ADP are assessed.
- Subjects :
- Adult
Anti-Bacterial Agents therapeutic use
Anti-Ulcer Agents therapeutic use
Duodenal Diseases diagnostic imaging
Duodenal Diseases therapy
Endoscopy, Digestive System
Female
Gastric Fistula diagnostic imaging
Gastric Fistula therapy
Humans
Intestinal Fistula diagnostic imaging
Intestinal Fistula therapy
Male
Middle Aged
Peptic Ulcer Hemorrhage etiology
Predictive Value of Tests
Proton Pump Inhibitors therapeutic use
Risk Factors
Stomach Ulcer diagnostic imaging
Stomach Ulcer therapy
Treatment Outcome
Duodenal Diseases etiology
Gastric Fistula etiology
Intestinal Fistula etiology
Pylorus diagnostic imaging
Stomach Ulcer complications
Subjects
Details
- Language :
- English
- ISSN :
- 2219-2840
- Volume :
- 22
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- World journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 26877621
- Full Text :
- https://doi.org/10.3748/wjg.v22.i6.2153