Ghahremani G G, Gore R M, Fields W R
Arch Surg. 1980 Feb;115(2):194-8. doi: 10.1001/archsurg.1980.01380020060014.
Fistulous communication between the gastric antrum and the duodenal bulb had the roentgenographic appearance of a double-channel pylorus in five adult patents. A penetrating peptic ulcer was the underlying cause in each instance. Following conservative management, the fistula in two cases closed spontaneously and in two other cases became asymptomatic despite persistence of the accessory channel. The remaining patient underwent subtotal gastrectomy because of hemorrhage from nonhealing antral ulcer.
在5例成年患者中，胃窦与十二指肠球部之间的瘘管造影表现为双通道幽门。每例的潜在病因均为穿透性消化性溃疡。经过保守治疗，2例患者的瘘管自行闭合，另外2例患者尽管副通道持续存在，但已无症状。其余1例患者因胃窦溃疡不愈合出血而接受了胃大部切除术。
