title: [Clinical characteristics of patients with a double pylori].
abstract: Double pylorus (DP), is a form of gastroduodenal fistula, which consists of a short accessory canal from the gastic antrum to the duodenal bulb, and mostly occrus in the background of peptic ulcer disease. Prevalence, as well long-term follow-up of patients with DP is less elucidated in western countries. Aim of our study was to analyse demografic, clinical and endoscopic characteristics in our case-series. During 2008-2013. a total of 23836 upper endoscopies were performed in 16759 patients. DP was diagnosed in 6 patients (prevalence of 0.04%). The follow-up period was f 8 to 72 months. In 87% DP was a complication of the upper gastrointestinal bleeding. In 83% cases opening of the fistula was on lesser curvature of gastric antrumu. During follow-up period the fistula healing did not occur in any of our patients. DP is a very rare entity, with a benign course of the disease Associated comorbidity and use of ulceriform medications plays important role in persistence of DP, wheras possible eradication of Helicobacter infection in this background remains elusive.
authors.forename: Hrvoje
authors.initials: H
authors.lastname: Iveković
authors.forename: Radovan
authors.initials: R
authors.lastname: Prijić
authors.forename: Bojana
authors.initials: B
authors.lastname: Radulović
authors.forename: Pave
authors.initials: P
authors.lastname: Markoš
authors.forename: Tomislav
authors.initials: T
authors.lastname: Brkić
authors.forename: Rajko
authors.initials: R
authors.lastname: Ostojić
authors.forename: Nadan
authors.initials: N
authors.lastname: Rustemović
mesh_terms: D000368:Aged; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005747:Gastric Fistula / Q000453:epidemiology* / Q000473:pathology* / Q000517:prevention & control; D006471:Gastrointestinal Hemorrhage / Q000150:complications*; D016481:Helicobacter Infections / Q000150:complications; D016480:Helicobacter pylori; D006801:Humans; D007412:Intestinal Fistula / Q000453:epidemiology* / Q000473:pathology* / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications* / Q000382:microbiology; D015995:Prevalence