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Prolapse of Gastric Mucosa into the Duodenum

  • Albertus D. Keet

Abstract

In 1911 Schmiedin described a patient with gastric outlet obstruction in which, at operation, a fold of gastric mucous membrane was found to have acted like a ball-valve at the pylorus. The fold could be pushed into the pyloric aperture. While the preoperative radiographs demonstrated the fold, they did not show definite evidence of prolapse into the duodenum. At operation the fold was excised, resulting in complete recovery of the patient. This appears to be the first description of a case in which redundant gastric mucosa caused significant symptoms.

Keywords

Gastric Mucosa Maximal Contraction Gastric Outlet Obstruction Duodenal Bulb Partial Contraction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Archer VW, Cooper G. Prolapse of the gastric mucosa. South Med J 1939, 33, 252–256.CrossRefGoogle Scholar
  2. 2.
    Bohrer JV, Copleman B. Prolapsing redundant gastric mucosa. Radiology 1938, 31, 220–222.Google Scholar
  3. 3.
    Bralow SP, Melamed M. Prolapse of redundant or hypertrophied gastric mucosa. Amer J Dig Dis 1947, 14, 215–221.PubMedCrossRefGoogle Scholar
  4. 4.
    Cole LG. The living stomach and its motor phenomenon. Acta Rad 1928, 9, 533–545.CrossRefGoogle Scholar
  5. 5.
    Cunningham DJ. The varying form of the stomach in man and the anthropoid ape. Trans Roy Soc Edinb 1906, 45, 9–47.Google Scholar
  6. 6.
    Eliason EL, Wright VWM. Benign tumors of the stomach. Surg Gynaec Obstet 1925, 41, 461–472.Google Scholar
  7. 7.
    Eliason EL, Pendergrass EP, Wright VWM. The roentgen-ray diagnosis of pedunculated growths and gastric mucosa prolapsing through the pylorus. Amer J Roentg Rad Ther Nucl Med 1926, 15, 295–322.Google Scholar
  8. 8.
    Ferguson IA. Prolapse of the gastric mucosa: report of six cases. Ann Surg 1948, 127, 879–886.CrossRefGoogle Scholar
  9. 9.
    Fermin HEA. Prolaps van het maagshjmvlies in het duodenum. Ned Tijdschr Geneesk 1950, 94, 3522–3528.Google Scholar
  10. 10.
    Fredel CH. Massive gastrointestinal hemorrhage due to prolapse of pyloric gastric mucosa in a child: report of a case. Arch Surg 1960, 80, 1052–1053.CrossRefGoogle Scholar
  11. 11.
    Forssell G. Studies of the mechanism of movement of the mucous membrane of the digestive tract. Amer J Roentg Rad Ther 1923, 10, 87–104.Google Scholar
  12. 12.
    Forssell G. The role of the autonomous movements of the gastro-intestinal mucous membrane in digestion. Amer J Roentg Rad Ther 1939, 41, 145–165.Google Scholar
  13. 13.
    Golden R. Antral gastritis and spasm. J Amer Med Assoc 1937, 109, 1497–1500.CrossRefGoogle Scholar
  14. 14.
    Hawley C, Meyer PD, Felson B. The roentgenologic diagnosis of prolapsed gastric mucosa. Amer J Roentg Rad Ther 1949, 61, 784–796.Google Scholar
  15. 15.
    Joffe N, Goldman H, Antonioli DA. Transpyloric prolapse of polypoid gastric carcinoma. Gastroenterology 1977, 72, 1326–1330.PubMedGoogle Scholar
  16. 16.
    Judd ES, Moe AE. Chronic hypertrophic gastritis complicated by obstruction: report of a case. Proc Staff Meet Mayo Clin 1947, 22, 241–245.Google Scholar
  17. 17.
    Keet AD. The Diagnosis of Gastric Mucosal Prolapse. Thesis, Univ Amsterdam 1952, pp 1–97.Google Scholar
  18. 18.
    Keet AD. Prolapse of gastric mucosa into the duodenum. South Afr Med J 1953, 27, 117–123.Google Scholar
  19. 19.
    Köhler R. Prolapse of redundant gastric mucosa into the duodenum. Acta Rad 1950, 33, 69–82.Google Scholar
  20. 20.
    Levin B. Miscellaneous gastric lesions. Sem Roent 1971, 6, 193–206.CrossRefGoogle Scholar
  21. 21.
    MacKenzie WC, MacLeod JW, Bouchard JL. Transpyloric prolapse of redundant gastric mucosal folds. Canad Med Assoc J 1946, 54, 553–558.Google Scholar
  22. 22.
    Manning IH, Highsmith GP. Prolapse of the gastric mucosa through the pyloric canal into the duodenum: report of 16 cases diagnosed roentgenologically. Gastroenterology 1948, 10, 643–659.PubMedGoogle Scholar
  23. 23.
    Manning IH, Gunter JU. Prolapse of redundant gastric mucosa through the pyloric canal into the duodenum. Amer J Path 1950, 26, 57–73.PubMedGoogle Scholar
  24. 24.
    Melamed A, Hiller RI. Prolapsed gastric mucosa: roentgenologic demonstration of ulcer crater in prolapsed polypoid mucosa. Amer J Dig Dis 1943, 10, 93–95.CrossRefGoogle Scholar
  25. 25.
    Meyer KA, Singer HA. Intermittent gastric ileus due to mechanical causes. Surg Gynaec Obstet 1931, 53, 742–749.Google Scholar
  26. 26.
    Moersch HJ, Weir JE Redundant gastric mucosa simulating carcinoma of the stomach. Amer J Dig Dis 1942, 9, 287–289.CrossRefGoogle Scholar
  27. 27.
    Moon AF, Speed T. Prolapse of gastric mucosa through the pylorus: presentation of a case with severe haemorrhage. Southern Med J 1949, 42, 839–844.PubMedCrossRefGoogle Scholar
  28. 28.
    Norgore M, Shuler IJD. Extrusion of gastric mucosa through the pylorus. Surgery 1945, 18, 452–457.Google Scholar
  29. 29.
    Nygaard KK, Lewitan A. Transpyloric herniation of redundant gastric mucosa. Amer J Surg 1948, 75, 502–515.PubMedCrossRefGoogle Scholar
  30. 30.
    Pendergrass EP. Prolapse of pedunculated tumors and gastric mucosa through pylorus into duodenum: roentgenologic diagnosis. J Amer Med Assoc 1930, 94, 317–321.CrossRefGoogle Scholar
  31. 31.
    Pendergrass EP, Andrews JP. Prolapsing lesions of the gastric mucosa. Amer J Roentg Rad Ther 1935; 34, 337–350.Google Scholar
  32. 32.
    Rappaport EM, Rappaport EO, Alper A. Incidence and clinical significance of transpyloric prolapse of gastric mucosa. J Amer Med Assoc 1952, 150, 182–188.CrossRefGoogle Scholar
  33. 33.
    Rees CE. Prolapse of the gastric mucosa through the pylorus: surgical treatment. Surg Gynaec Obstet 1937, 64, 689–694.Google Scholar
  34. 34.
    Rendich RA. The roentgenographic study of the mucosa in normal and pathological states. Amer J Roentg Rad Ther 1923, 10, 526–537.Google Scholar
  35. 35.
    Rubin JS. Prolapse of polypoid gastric mucosa into the duodenum, with malignant change. Radiology 1942, 38, 362–364.Google Scholar
  36. 36.
    Schmiedin V von. Die Differentialdiagnose zwischen Magengeschwür und Magenkrebs: die pathologische Anatomie dieser Erkrankungen in Beziehung zu ihrer Darstellung im Röntgenbilder. Arch klin Chir 1911, 96, 253–344.Google Scholar
  37. 37.
    Scott WG. Radiographic diagnosis of prolapsed redundant gastric mucosa into the duodenum, with remarks on the clinical significance and treatment. Radiology 1946, 46, 547–568.PubMedGoogle Scholar
  38. 38.
    Short WF, Young BR. Roentgen demonstration of prolapse of benign polypoid gastric tumors into the duodenum, including a dumbbell-shaped leiomyoma. Amer J Roentg Rad Ther Nucl Med 1968, 103, 317–320.Google Scholar
  39. 39.
    Stiennon OA. Prolapse of the antral mucosa: a clinical radiologic entity? Amer J Roentg Rad Ther Nucl Med 1960, 84, 1142–1143.Google Scholar
  40. 40.
    Teng CT. Prolapse of gastric mucosa: report of an unusual case. Amer J Roentg Rad Ther Nucl Med 1962, 87, 729–731.Google Scholar
  41. 41.
    Tesler J. The value of gastroscopy as a diagnostic aid in gastric lesions. Amer J Dig Dis 1947, 14, 104–109.PubMedCrossRefGoogle Scholar
  42. 42.
    Todd MC, Brennan JE. Transpyloric prolapse of the gastric mucosa. Arch Surg 1957, 74, 746–752.CrossRefGoogle Scholar
  43. 43.
    Torgersen J. The muscular build and movements of the stomach and duodenal bulb. Acta Rad 1942, Suppl 45, 1–191.CrossRefGoogle Scholar
  44. 44.
    Van Noate HE, Arnold WT, Palmer FD. Clinical and gastroscopic observations on prolapse of the gastric mucosa. Rev Gastroenterol 1948, 15, 696–701.Google Scholar
  45. 45.
    White RR, Bargen JA, Saghafi MM. Prolapse of gastric mucosa into the duodenum: a cause of upper gastrointestinal bleeding. Postgrad Med 1966, 39, 512–516.Google Scholar
  46. 46.
    Williams I. Closure of the pylorus. Brit J Rad 1962, 35, 653–670.CrossRefGoogle Scholar
  47. 47.
    Zacho A. Relaxation of the gastric mucosa producing pyloric obstruction. Arch Surg 1948, 57, 45–50.PubMedCrossRefGoogle Scholar
  48. 48.
    Zimmer EA. Klinik und Röntgenologie des Prolapses von Magenschleimhaut in den Pylorus und in den Bulbus duodeni. Schweiz med Wochenschr 1950, 14, 351–358.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • Albertus D. Keet
    • 1
  1. 1.Welgemoed BellvilleSouth Africa

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