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Double pylorus--in evolution.

K R Kothandaraman, K P Kutty, K A Hawken

    Journal of Clinical Gastroenterology
    |August 1, 1983
    PubMed
    Summary
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    Double pylorus is a rare gastrointestinal finding, observed in 0.08% of endoscopies. This condition often develops from peptic ulcer disease, as seen in serial examinations.

    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Double pylorus is an uncommon congenital or acquired anomaly of the gastric outlet.
    • Peptic ulcer disease is a known risk factor for acquired pyloric abnormalities.

    Observation:

    • Two cases of double pylorus were identified over a 4-year period during 2,500 endoscopic examinations, yielding an incidence of 0.08%.
    • Serial endoscopic examinations documented the development of a double pylorus in one patient, originating from a prepyloric ulcer.

    Findings:

    • The incidence of double pylorus in this endoscopic series was 0.08% (2 out of 2,500 examinations).
    • Acquired double pylorus, particularly secondary to peptic ulcer disease, appears to be the predominant etiology.

    Implications:

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  • Understanding the incidence and etiology of double pylorus is crucial for accurate diagnosis and management of gastric outlet abnormalities.
  • Further research into the pathogenesis of acquired double pylorus may inform preventative strategies for peptic ulcer disease complications.