title: [Uncommon condition of the upper gastrointestinal tract: double pylorus].
abstract: Double pylorus and gastroduodenal fistula are uncommon conditions that are either congenital or acquired. Acquired double pylorus in most cases resulted from a penetrating peptic ulcer creating a fistula between the duodenal bulb and the prepyloric antrum. The diagnosis is usually made by endoscopy. Surgical intervention should be only considered for patients with refractory symptoms, recurrent ulcers and other complications. We report the case of a 85-year-old man with an acquired duodenal-antral fistula resulting from a retrograde penetration of an ulcus duodeni and simulating a double pylorus.
authors.affiliation: Kliniken der Stadt Köln gGmbH und Lehrstuhl Innere Medizin II der Universität Witten/Herdecke, Köln, Germany. wurmg@kliniken-koeln.de
authors.forename: G
authors.initials: G
authors.lastname: Wurm
authors.forename: T
authors.initials: T
authors.lastname: Saers
authors.forename: M
authors.initials: M
authors.lastname: Weber
authors.forename: B
authors.initials: B
authors.lastname: Krakamp
mesh_terms: D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology*; D004381:Duodenal Ulcer / Q000150:complications*; D004724:Endoscopy; D004942:Esophagitis, Peptic / Q000175:diagnosis; D005500:Follow-Up Studies; D005747:Gastric Fistula / Q000175:diagnosis / Q000209:etiology*; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D011708:Pylorus / Q000002:abnormalities; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D054328:Proton Pump Inhibitors