A Case of Double Pylorus Due to the Repeated Gastric Ulcer
1Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine
2Takeda Clinic, Tokyo
A 70-year-old woman visited our hospital for evaluation of epigastric pain. She had been treated for a gastric ulcer by her home doctor with H2-receptor antagonist or PPI for 30 years. An upper GI series revealed a gastroduodenal fistula from the lesser curvature to the prepyloric region and the duodenal bulb. Eighteen months later, endoscopic examination revealed a double pylorus without additional changes.
ϊγεγο 2006; 2(4), 213-215
Takeshi Okuda, Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan