第2巻 2006年10月　第4号

■症例報告

難治性胃潰瘍に続発し形成過程を画像で確認したDouble Pylorusの1例
奥田　武志¹, 加藤　俊二¹, 木山　輝郎¹, 水谷　崇¹, 藤田　逸郎¹, 鶴田　宏之¹, 武田　守正², 田尻　孝^1
1日本医科大学大学院医学研究科臓器病態制御外科
²武田内科医院, 東京

A Case of Double Pylorus Due to the Repeated Gastric Ulcer
Takeshi Okuda¹, Shunji Kato¹, Teruo Kiyama¹, Takashi Mizutani¹, Itsuro Fujita¹, Hiroyuki Tsuruta¹, Morimasa Takeda² and Takashi Tajiri^1
1Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine
²Takeda Clinic, Tokyo

A 70-year-old woman visited our hospital for evaluation of epigastric pain. She had been treated for a gastric ulcer by her home doctor with H2-receptor antagonist or PPI for 30 years. An upper GI series revealed a gastroduodenal fistula from the lesser curvature to the prepyloric region and the duodenal bulb. Eighteen months later, endoscopic examination revealed a double pylorus without additional changes.

日医大医会誌 2006; 2(4), 213-215

Key words
double pylorus

Correspondence to
Takeshi Okuda, Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
E-mail：to3579@nms.ac.jp

受付：2006年5月11日　受理：2006年5月31日