Linea C, Sinagra E, La Seta F, Giunta M. Acquired double pylorus, due to penetrating gastric ulcer, presenting with melena. World J Gastrointest Endosc 2012; 4(3): 94-95 [PMID: 22442747 DOI: 10.4253/wjge.v4.i3.94]
Corresponding Author of This Article
Emanuele Sinagra, Dr., Operative Unit of Gastroenterology, Palermo University, V Cervello Hospital, 90143 Palermo, Italy. manuelitomagico@hotmail.it
Article-Type of This Article
Case Report
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World J Gastrointest Endosc. Mar 16, 2012; 4(3): 94-95 Published online Mar 16, 2012. doi: 10.4253/wjge.v4.i3.94
Acquired double pylorus, due to penetrating gastric ulcer, presenting with melena
Cristina Linea, Emanuele Sinagra, Francesco La Seta, Marco Giunta
Cristina Linea, Emanuele Sinagra, Marco Giunta, Operative Unit of Gastroenterology, Palermo University, V Cervello Hospital, 90146 Palermo, Italy
Emanuele Sinagra, Operative Unit of Gastroenterology and Hepatology, Palermo University, AOUP Paolo Giaccone, Piazza delle Cliniche 2, 90100 Palermo, Italy
Francesco La Seta, Radiology Unit, Palermo University, V Cervello Hospital, Via Trabucco 180, 90146 Palermo, Italy
Author contributions: Linea C and Sinagra E wrote the paper; Giunta M and La Seta F managed the patient as endoscopist and radiologist, respectively.
Correspondence to: Emanuele Sinagra, Dr., Operative Unit of Gastroenterology, Palermo University, V Cervello Hospital, 90143 Palermo, Italy. manuelitomagico@hotmail.it
Telephone: +39-3395965814 Fax: +39-916885111
Received: September 10, 2011 Revised: November 29, 2011 Accepted: March 2, 2012 Published online: March 16, 2012
Abstract
Acquired double pylorus (DP) is an uncommon condition consisting of two communicating channels between the gastric antrum and the first part of duodedum. Little is known about the origin of DP. As there is no specific gastrointestinal symptom due to DP, most often it is diagnosed by gastroscopy while performing for other indicationsFew data are also known about the clinical course of DP. In the patients with peptic ulcer symptoms, the pyloroplasty-like drainage effect, improving gastric emptying after the estabilishment of the fistula, could relieve these symptoms. This represents an unresolved issues about the necessity of repeating endoscopy to document in the patients with DP its final outcome, as the risk of ulcer recurrence. We describe a case of a 76-years-old woman admitted to our department for hyposideremic anemia associated to a recent history of melena.
