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Related Concept Videos

Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
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Esophageal Varices-I: Introduction01:24

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Double pylorus in cirrhosis.

Abinash Subedi1, Ted George Achufusi1, Kegan Jessamy2

  • 1Department of Internal Medicine, State University of New York Upstate Medical University, Syracuse, New York.

Proceedings (Baylor University. Medical Center)
|October 26, 2020
PubMed
Summary

Double pylorus is a rare condition, often caused by ulcers or cancer. This case highlights its diagnosis in a cirrhotic patient during endoscopy for esophageal varices.

Keywords:
Cirrhosiscongenitalduodenumendoscopypylorus

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Pathology

Background:

  • Double pylorus is an uncommon condition, presenting either congenitally or acquired.
  • Acquired cases typically result from peptic ulcer disease, with rarer instances linked to gastric malignancy.

Observation:

  • A case of double pylorus was identified in a patient with liver cirrhosis.
  • The diagnosis was made during a surveillance endoscopy procedure.

Findings:

  • The patient presented with a double pylorus, an unusual anatomical finding.
  • This condition was incidentally discovered during screening for esophageal varices.

Implications:

  • This case underscores the importance of recognizing double pylorus, even in atypical patient populations.
  • Accurate diagnosis during endoscopy is crucial for appropriate patient management.
  • Further research may elucidate the specific risks and management strategies for double pylorus in cirrhotic patients.