Adult duodenal web associated with peptic ulcer disease.

Three new instances of adult duodenal web and associated peptic ulcer disease are presented. In addition, 33 instances of adult duodenal web from the literature are reviewed. Peptic ulcer disease occurred in association with duodenal web in six of these 33 patients. Operative management of these patients was reviewed and the difficulty in diagnosis of duodenal web was emphasized. Optimal treatment of adult duodenal web was web excision and duodenoplasty. This treatment was successful in all 20 instances in which it was used. The added complication of peptic ulcer disease in nine patients with duodenal web required an anti-ulcer procedure in addition to standard treatment of duodenal web. The outcome in these nine patients was excellent.