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KMID : 0614619940260020343
Korean Journal of Gastroenterology
1994 Volume.26 No. 2 p.343 ~ p.347
Acquired Double Pylorus
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Abstract
The double pylorus is a fistulous communication between the gastric antrum and duodenal bulb. Although its incidence is rare, reports concerning double pylorus are increasing with the recent development of upper gastrontestinal endoscopy. In most
instances, it is believed to be a complication of peptic ulcer disease. We recently experienced a case of double pylous is 63-year-old male presenting as epigastric pain and melena. Endoscopy revealed and ulcer on the lesser curvature side of
gastric
antrum and the opening of gastroduodenal fistula within the antral ulcer. We showed the fistula connecting antral ulcer with the duodenal bulb by passing the cathter through it. We reported this case as a double pylorus accompanied by gastric
antral
ulcer with review of the literature. (Korean J Gastroenterol 1994 ; 26 : 343-347)
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