難治性胃潰瘍に続発し形成過程を画像で確認したDouble Pylorusの1例

奥田 武志; 加藤 俊二; 木山 輝郎; 水谷 崇; 藤田 逸郎; 鶴田 宏之; 武田 守正; 田尻 孝

doi:10.1272/manms.2.213

Case Report

A Case of Double Pylorus Due to the Repeated Gastric Ulcer

Takeshi Okuda, Shunji Kato, Teruo Kiyama, Takashi Mizutani, Itsuro Fujita, Hiroyuki Tsuruta, Morimasa Takeda, Takashi Tajiri

Author information

Takeshi Okuda
Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine
Shunji Kato
Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine
Teruo Kiyama
Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine
Takashi Mizutani
Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine
Itsuro Fujita
Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine
Hiroyuki Tsuruta
Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine
Morimasa Takeda
Takeda Clinic
Takashi Tajiri
Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine

Keywords: double pylorus

JOURNAL FREE ACCESS

2006 Volume 2 Issue 4 Pages 213-215

DOI https://doi.org/10.1272/manms.2.213

Details

Abstract

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.

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