Two case reports and review of the literature.
- Author:
Il Han SONG
;
Myung Jae PARK
;
Hyo Jong KIM
;
Byung Ho KIM
;
Joung Il LEE
;
Young Woon CHANG
;
Rin CHANG
- Publication Type:Original Article
- Keywords:
Double pylorus;
Stomach ulcer;
Muscularis mucosa
- MeSH:
Aged;
Cicatrix;
Endoscopy, Gastrointestinal;
Humans;
Incidence;
Male;
Middle Aged;
Mucous Membrane;
Peptic Ulcer;
Pyloric Antrum;
Pylorus;
Stomach;
Stomach Ulcer;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
1993;13(1):45-49
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The double pylorus-is a fistulous communication between the gastric antrum and duodenal bulb, usually extending from the lesser curvature of the stomach to the superior aspect of the duodenal bulb, and seperated by septum or bridge of normal mucosa. Although its incidence is rare, reports concerning double pylorus are increasing with the recent development of upper gastrointestinal endoscopy and more awareness of this abnormality. We recently experienced two cases of double pylorus; an aquired one in 72-year old male who had an another opening with healing ulcer at the superior aspect of the original pyloric channel, central erosion with clubbing and fusion of mucosal folds at the greater curvature of the lower body and a 3 x 4 cm sized ulcer at the lesser curvature of the lower body, and the other congenital one in 53-year old male who had an another opening at the superior aspect of the original pyloric channel with histologically intact muscularis mucosa in the pyloric septum with no evidence of chronic peptic ulcer scarring. We report here two cases of double pylorus, one-acquired, and the other-congenital, with a review of the literature.
