Congenital Double Pylorus

The double pylorus is an uncommon finding and maybe congenital due to gastrointestinal duplication abnormality or more commonly secondary to peptic ulcer disease. The case we present is an elderly patient with mild dyspeptic symptoms who had an upper endoscopy as part of her investigative workup. The congenital double pylorus, being asymptomatic, may often go undetected. It is sometimes found incidentally on upper endoscopy, but needs no directed therapy. It is not associated with any specific complication.

Download Full-text

Acquired Double Pylorus (ADP): A Rare Complication of Peptic Ulcer Disease

The American Journal of Gastroenterology ◽

10.14309/00000434-201810001-02656 ◽

2018 ◽

Vol 113 (Supplement) ◽

pp. S1479-S1480

Author(s):

Richa Bhardwaj ◽

Raffi Karagozian

Keyword(s):

Peptic Ulcer ◽

Peptic Ulcer Disease ◽

Rare Complication ◽

Ulcer Disease ◽

Double Pylorus

Download Full-text

Double Pylorus: An Unusual Complication of Peptic Ulcer Disease (with video)

Clinical Gastroenterology and Hepatology ◽

10.1016/j.cgh.2008.06.023 ◽

2008 ◽

Vol 6 (10) ◽

pp. e38 ◽

Cited By ~ 2

Author(s):

Chih–Wei Tseng ◽

Jai–Jen Tsai ◽

Hwai–Jeng Lin

Keyword(s):

Peptic Ulcer ◽

Peptic Ulcer Disease ◽

Unusual Complication ◽

Ulcer Disease ◽

Double Pylorus

Download Full-text

A Case Report of Double Pylorus: An Unusual Complication of Peptic Ulcer Disease

The American Journal of Gastroenterology ◽

10.14309/00000434-201810001-01885 ◽

2018 ◽

Vol 113 (Supplement) ◽

pp. S1069

Author(s):

Andrew Ofosu ◽

Christopher Brana ◽

Andrea Culliford ◽

Vinaya Gaduputi

Keyword(s):

Peptic Ulcer ◽

Case Report ◽

Peptic Ulcer Disease ◽

Unusual Complication ◽

Ulcer Disease ◽

Double Pylorus

Download Full-text

Efficacy of a triple therapy for Helicobacter pylori eradication in a well-developed urban area in Brazil

Sao Paulo Medical Journal ◽

10.1590/s1516-31802004000200009 ◽

2004 ◽

Vol 122 (2) ◽

pp. 73-75 ◽

Cited By ~ 2

Author(s):

Patrick Bellelis ◽

Eliana Sueco Tibana Samano ◽

Ricardo Cruz Nunes ◽

Lia de Melo Ribeiro ◽

Ethel Zimberg Chehter ◽

...

Keyword(s):

Helicobacter Pylori ◽

Peptic Ulcer ◽

Peptic Ulcer Disease ◽

Triple Therapy ◽

Urban Area ◽

Gastric Ulcers ◽

Upper Endoscopy ◽

Helicobacter Pylori Eradication ◽

Ulcer Disease ◽

Urease Test

CONTEXT: Helicobacter pylori eradication has become the standard treatment for peptic ulcer disease. Triple therapy with omeprazole plus two antibiotics has been used. Due to the lack of ideal treatment and the high rates of primary resistance to nitroimidazoles, the use of clarithromycin has been adopted. OBJECTIVE: To determine the Helicobacter pylori eradication rates using lansoprazole, amoxicillin and clarithromycin for seven days, in patients with peptic ulcer disease in a well developed urban area in Brazil. METHODS: This was a retrospective, open-label study carried out at the School of Medicine of the Fundação ABC. It included 130 patients with peptic ulcer disease (upper endoscopy) who had been tested positive for Helicobacter pylori infection (urease test, histology or breath test), without previous treatment. Patients were treated with lansoprazole 30 mg, amoxicillin 1,000 mg and clarithromycin 500 mg b.i.d., for seven days. Eradication was verified after 90 days. RESULTS: Follow-up data were available for 94 patients. Their mean age was 52.23 years; 51.54% were woman, 84.31% white, 37.69% smokers, 20.77% using nonsteroidal anti-inflammatory drugs and 8.46% alcoholics. Upper endoscopy revealed that 78.46% had duodenal ulcers and 21.53% had gastric ulcers (a 4:1 DU:GU ratio). The eradication rates were 85.11% per protocol and 61.54% by intention to treat; 97% had no adverse effects. CONCLUSION: Triple therapy using lansoprazole, amoxicillin and clarithromycin is well tolerated with high eradication rates and forms a good alternative for developing countries.

Download Full-text

Double pylorus: case report and review of the literature

Revista do Hospital das Clínicas ◽

10.1590/s0041-87811999000400006 ◽

1999 ◽

Vol 54 (4) ◽

pp. 131-134 ◽

Cited By ~ 8

Author(s):

Adriana Vaz Safatle-Ribeiro ◽

Ulysses Ribeiro Júnior ◽

Angelita Habr-Gama ◽

Joaquim J. Gama-Rodrigues

Keyword(s):

Peptic Ulcer ◽

Peptic Ulcer Disease ◽

Epigastric Pain ◽

Duodenal Bulb ◽

Previous History ◽

Review Of The Literature ◽

Ulcer Disease ◽

Double Pylorus ◽

H Pylori

Double pylorus is an unusual condition in which a double communication between the gastric antrum and the duodenal bulb occurs. It may be congenital, or it may be acquired complication of peptic ulcer disease. We present a case of double pylorus in a gentleman with epigastric pain and previous history of peptic ulcer disease. The relationship between Helicobacter pylori and this disease was assessed. A review of the literature, the role of associated diseases and the role of H. pylori are discussed.

Download Full-text