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“双幽门”病例

The Case of the "Double Pylorus".

作者信息

Sutaria Ayush, Ejaz Shamim, Cazacu Irina M, Saftoiu Adrian, Bhutani Manoop S

机构信息

Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, Romania.

出版信息

Curr Health Sci J. 2025 Jan-Mar;51(1):151-154. doi: 10.12865/CHSJ.51.01.16. Epub 2025 Mar 31.

DOI:10.12865/CHSJ.51.01.16
PMID:40678311
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12265001/
Abstract

A 68-year-old female with a history of small cell carcinoma of the lung and peptic ulcer disease presented for evaluation of dysphagia after undergoing radiation and chemotherapy. Esophagogastroduodenoscopy (EGD) revealed a radiation-induced esophageal stricture and incidentally a "double pylorus (DP)" with an adjacent similar opening cephalad to the pylorus. There was no evidence of perforation or traumatic injury leading to this finding and upon intubation, both openings led to the duodenal bulb that appeared to be normal. No endoscopic and surgical intervention was offered as patient was asymptomatic.

摘要

一名68岁女性，有肺癌和消化性溃疡病史，在接受放疗和化疗后因吞咽困难前来评估。食管胃十二指肠镜检查（EGD）显示放射性食管狭窄，偶然发现一个“双幽门（DP）”，在幽门上方相邻处有一个类似的开口。没有证据表明穿孔或创伤性损伤导致了这一发现，插管时，两个开口均通向看似正常的十二指肠球部。由于患者无症状，未提供内镜和手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c542/12265001/37c005b6e3f0/CHSJ-51-01-151-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c542/12265001/9125b04cc7e3/CHSJ-51-01-151-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c542/12265001/3a74dd80f4b7/CHSJ-51-01-151-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c542/12265001/37c005b6e3f0/CHSJ-51-01-151-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c542/12265001/9125b04cc7e3/CHSJ-51-01-151-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c542/12265001/3a74dd80f4b7/CHSJ-51-01-151-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c542/12265001/37c005b6e3f0/CHSJ-51-01-151-fig3.jpg

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本文引用的文献

1
Double Pylorus: Report of a Case With Endoscopic Follow-Up and Review of the Literature.双幽门：1例内镜随访病例报告及文献复习
Gastroenterology Res. 2018 Apr;11(2):154-156. doi: 10.14740/gr960w. Epub 2018 Apr 7.
2
Acquired double pylorus: Clinical and endoscopic characteristics and four-year follow-up observations.获得性双幽门：临床及内镜特征与四年随访观察
World J Gastroenterol. 2016 Feb 14;22(6):2153-8. doi: 10.3748/wjg.v22.i6.2153.
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Concomitant pancreas divisum and double pylorus: a case report.胰腺分裂与双幽门并存：一例报告
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Gastrointest Endosc. 2001 May;53(6):679-80. doi: 10.1067/mge.2001.113645.
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Symptomatic double-channel pylorus. Successful treatment with a biliary sphincterotome.症状性双通道幽门。使用胆道括约肌切开刀成功治疗。
Surg Endosc. 1994 Jul;8(7):792-3. doi: 10.1007/BF00593443.
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The natural history of the double pylorus.
Radiology. 1978 Jan;126(1):29-34. doi: 10.1148/126.1.29.