Acquired Double Pylorus due to Gastroduodenal Fistula Complicating Peptic Ulceration

Ghahremani, Gary G.; Gore, Richard M.; Fields, William R.

doi:10.1001/archsurg.1980.01380020060014

Cited by 8 publications

(2 citation statements)

References 16 publications

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“…Subsequently, further penetration along the muscular layer results in a fistulous tract. [3][4][5]7,18,19 Our experience favors this hypothesis.…”

Section: Discussionsupporting

confidence: 51%

“…monary disease, chronic renal failure, chronic rheumatism, and systemic lupus erythematosus, have been reported to be associated with DP. 5,8,9,11,[16][17][18][19] In the present study, 12 patients (60%) had 1 or more systemic diseases. Furthermore, the patients with chronic lung disease and rheumatoid arthritis had taken corticosteroids and NSAIDs for long periods of time, and this may have promoted ulcer recurrence.…”

Section: A B C Dmentioning

confidence: 61%

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Clinical characteristics of double pylorus

Tsai

Hsu

et al. 2001

Gastrointestinal Endoscopy

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“…Subsequently, further penetration along the muscular layer results in a fistulous tract. [3][4][5]7,18,19 Our experience favors this hypothesis.…”

Section: Discussionsupporting

confidence: 51%

Section: A B C Dmentioning

confidence: 61%

Clinical characteristics of double pylorus

Tsai

Hsu

et al. 2001

Gastrointestinal Endoscopy

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The clinical significance and natural history of the double pylorus

Grace

Banks

1984

Digest Dis Sci

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The double pylorus is a fistulous communication between the gastric antrum and duodenal bulb. In most instances, it is believed to be a complication of peptic ulcer disease. In prior reports, the longest follow-up has been only 5 years. We report four cases of double pylorus, three of which have been followed medically (one for 7 years), and a fourth which required surgery for recurrent pain after 10 years of medical treatment. In previously reported cases, only 20% have required surgery, usually for refractory symptoms, whereas 80% of patients have been managed medically and have been free of complications. In one of our cases, the mucosal bridge separating the pylorus from the fistula perforated, with coalescence of the two channels into one large gastroduodenal passage. There were no serious clinical symptoms or sequelae caused by this additional destruction of tissue. We conclude that the double pylorus is a destructive but relatively benign complication of peptic ulcer disease.

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Gastric carcinoma presenting as double-channel pylorus on upper gastrointestinal series

Friehling

Rosenthal

1985

Digest Dis Sci

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A double-channel pylorus or gastroduodenal fistula is a rare entity frequently acquired in association with penetrating peptic ulcer disease. The diagnosis is made by upper gastrointestinal series or by endoscopy. We report a 59-year-old man who presented with gastric outlet obstruction whose upper gastrointestinal series was typical of benign peptic ulcer disease demonstrating antral ulcers and a double-channel pylorus. At operation, gastric carcinoma infiltrating the pyloric channel and dividing it into two lumens was found. No gastroduodenal fistula was found. The "gastroduodenal fistula" on upper gastrointestinal series had been created by gastric carcinoma protruding into the pyloric channel and dividing the barium flow into two streams. One can no longer assume that a double-channel pylorus is due to benign ulcer disease.

show abstract

Acquired Double Pylorus due to Gastroduodenal Fistula Complicating Peptic Ulceration

Cited by 8 publications

References 16 publications

Clinical characteristics of double pylorus

Clinical characteristics of double pylorus

The clinical significance and natural history of the double pylorus

Gastric carcinoma presenting as double-channel pylorus on upper gastrointestinal series

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