Goldstein W B
J Clin Gastroenterol. 1981 Jun;3(2):185-8. doi: 10.1097/00004836-198106000-00015.
I recognized fistulas between the stomach and descending duodenum and between the duodenal bulb and descending duodenum in three patients by upper gastrointestinal study. The many recent papers on the "double pylorus" together with these three previously unreported examples suggest that periduodenal fistulas are not infrequent complications of peptic ulcer disease. Crohn's disease is unlikely without appropriate history and other radiologic evidence. Congenital duplication is usually noncommunicating and most often occurs at the mid portion of the stomach's greater curvature. Awareness of variety of these fistulas and special effort to demonstrate their presence should help interpretation during endoscopy and radiologic examination.
通过上消化道检查，我在三名患者中发现了胃与十二指肠降部之间以及十二指肠球部与十二指肠降部之间的瘘管。近期许多关于“双幽门”的论文，再加上这三个此前未报道的病例，提示十二指肠周围瘘是消化性溃疡疾病并不罕见的并发症。若无恰当病史及其他放射学证据，克罗恩病不太可能。先天性重复通常不连通，最常发生于胃大弯中部。认识到这些瘘管的多样性并特别努力去证实它们的存在，应有助于在内镜检查和放射学检查时进行解读。
