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FIGURE 1. A. The endoscopic view of the prepyloric region shows the true pylorus (white arrow), and the second accessory channel near the pylorus (black arrow). B. With a closer look, an ulcer scar (arrowhead) was seen adjacent to the accessory channel at the prepyloric antrum.
congenital abnormality or secondary to gastric carcinoma (Matsuyama, Nagashima, Watanabe, & Takahashi, 2001; Mylonas et al., 2002). It is seen more frequently in males, more common in the lesser curvature of the gastric antrum, and connects to the superior wall of the duodenal bulb (Hegedus et al., 1978; Hu et al., 2001). Most patients respond well to antiulcer medication without surgical intervention. Surgical treatment is necessary only in patients unresponsive to medical and endoscopic treatment (Hu, Tai, Changchien, Chen, & Chang, 1995; Mcgrew, Spear, Sutton, & Dunn, 1984). Gastrointestinal healthcare providers should be aware that double pylorus appearance usually occurs as a complication of peptic ulcer disease. Sincerely, Abdurrahim Sayilir, MD Mevlut Kurt, MD Ibrahim K. Onal, MD Yavuz Beyazit, MD Burak Suvak, MD Department of Gastroenterology, Turkiye Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey.
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DOI: 10.1097/SGA.0b013e31822c69f9
VOLUME 34
NUMBER 5
SEPTEMBER/OCTOBER 2011
Copyright 2011 Society of Gastroenterology Nurses and Associates. Unauthorized reproduction of this article is prohibited.
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Gastroenterology Nursing Copyright 2011 Society of Gastroenterology Nurses and Associates. Unauthorized reproduction of this article is prohibited.