Abstract
The double pylorus is a rare condition consisting of fistulous communication between the gastric antrum and the duodenum. We report here two cases of peptic ulcer with double pylorus which was diagnosed by means of upper gastrointestinal endoscopy at our hospital in recent 5 years. Case 1 is a 63-year-old male patient who was diagnosed to have peptic ulcer by endoscopic examination in 1988. Recurrent epigastric pain occurred in the following years. Serial panendoscopy in the following years discovered double pylorus formation in 1992 and 1993. Case 2 is a 72-year-old female patient who was diagnosed to have gastric ulcer by panendoscopic examination in 1992. Follow up panendoscopy 4 months later showed gastric ulcer with double pylorus. The patient received medical treatment and the third panendoscopy 3 months later revealed gastric ulcer scar without the presence of double pylorus. The clinical courses of the two cases were presented and the literatures concerning double pylorus were reviewed.
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