Duodenal adenomas with gastric phenotype are subclassified into
pyloric gland adenoma and foveolar adenoma.
Most patients affected due to carcinoma of
pyloric antrum were in the age group between 5th and 7th decades.
Wernicke's encephalopathy caused by
pyloric stenosis after endoscopic submucosal dissection.
An instant rare complication: a fractured metallic
pyloric stent.
Variable Median (range or absolute frequency) Age (year) 54 (27-80) Gender (female) 42 (40.8%) Tumor location 50 (48.5%) (
pyloric antrum) HER-2 (positive) 28 (27.2%) TNM stage I-II/m/IV 20 (19.4%)/25 (24.3%)/58 (56.3%) Metastasis (yes) 58 (56.3%) RDW (%) 13.4 (11.5-32.7) WBC (g/L) 5.69 (3.03-12.81) MO (g/L) 0.42 (0.11-1.46) NLR 2.54 (1.00-32.28) CA125 (U/mL) 26.6 (4.0-4853.6) CA199 (U/mL) 11.9 (2.0-1200.0) CEA ([micro]g/L) 2.4 (0.5-12854.0) RDW+ NLR 0/1/2 38 (36.9%)/37 (35.9%)/28 (27.2%) Overall survival 8.9 (0.9-51.7) Progression-free survival 6.1 (0.9-51.7) RDW: red cell distribution width; NE: neutrophil; MO: monocyte; PDW: platelet distribution width; NLR: neutrophil-to-lymphocyte ratio; RDW + NLR: combination of red blood cell distribution width and neutrophil-to-lymphocyte ratio.
Only one patient developed
pyloric stenosis secondary to scar formation on the 45th day, and he underwent endoscopic radial incision (ERI).
Pyloric gland adenomas are soft-tan excrescences which have a thin stalk that is readily detached from the surface.
An orogastric tube was placed to low intermittent suction, and an upper gastrointestinal tract fluoroscopic examination was performed revealing a complete discontinuity between the stomach and duodenum, consistent with
pyloric atresia (Figure 2).
Grade A esophagitis was determined, and loosening of the lower esophageal sphincter, antral gastritis, and
pyloric stenosis to a degree that would not permit the passage of the endoscope were observed.
The oesophagus (middle portion), stomach (anterior and posterior) and liver were cross-sectioned, whereas the
pyloric caeca and intestine were sectioned longitudinally.
Mostly the
pyloric part of the abomasum is normally herniated in umbilical hernia in cow calves but presence of umbilical abomasal fistula is rare (Fubini and Ducharme, 2004).
Type 3 (CAVI mutation) is very rare, type 4 is the muscular type with
pyloric stenosis, flat and striated muscle involvement, and serious arrhythmia.