Acquired Double Pylorus

A rare endoscopic finding: acquired double pylorus

“…Similarly, our patient's endoscopic In most cases, as in our patient, this abnormality itself tends to be clinically silent [5]. It is mostly found incidentally by endoscopic or X-ray examination [6]. In our case, the presenting symptom was gastrointestinal bleeding from the gastric ulcers, a condition rarely reported in the literature [7,8].…”

“…The majority of patients respond well to conservative treatment for peptic ulcers, regardless of whether the fistula remains open or is spontaneously closed [10]. In general, surgical intervention is not a choice of treatment [6], although it should be considered for patients with refractory symptoms, recurrent ulcers, and other complications, even in those taking strong anti-ulcer medication [5]. Spontaneous fusion of both ducts (real pylorus and pseudopylorus) only occurs in a small percentage of patients [2].…”

A Case of Double Pylorus Caused by Recurrent Gastric Ulcers: A Long-Term Endoscopic Observation

“…Our experience and other case reports suggest that acquired double pylorus is a relatively benign complication of peptic ulcer (1,9,10). We considered this case worth reporting because we were able to observe the formation and disappearance of double pylorus during a longitudinal follow-up of 14 years.…”

“…However, in general, this condition itself tends to be clinically silent (8). In fact, it is mostly found incidentally by endoscopic or x-ray examination (10). Considering the clinical course, our patient's symptom was probably due to the peptic ulcers.…”

“…It is also possible that poor compliance with the medication contributed to the fistula formation in this case. In general, surgical intervention is not a choice of treatment (10), although it has been carried out in patients with severe symptoms (8). The majority of patients respond well to conservative treatment for peptic ulcers, regardless of whether the fistula remains open or is spontaneously closed (1).…”