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Robert G. Naylor, MD; George L. Juler, MD

Arch Surg. 1976;111(6):658-662.

Abstract
• In seven cases of congenital anomalies in adults, duodenal obstruction and peptic ulcer disease developed. There were two cases of congenital duodenal web, two of hypertrophic pyloric stenosis, two of annular pancreas, and one of a preduodenal portal vein. The diagnosis is seldom made preoperatively. In the four patients who had preoperative gastric analysis, the acid secretions were increased. Those patients who underwent endoscopy had changes consistent with hypertrophic secretory gastropathy and duodenitis. We believe that treatment should be directed toward relief of the duodenal obstruction and the reduction of basal acid secretion by truncal vagotomy in all such cases.

(Arch Surg 111:658-662, 1976)

Author Affiliations
From the Surgical Service, University of California at Irvine, School of Medicine, and the Veterans Administration Hospital, Long Beach, Calif.

Footnotes
Accepted for publication Feb 12, 1976.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Newport Beach, Calif, Jan 16, 1976.

Reprint requests to 5901 E Seventh St, Long Beach, CA 90822 (Dr Juler).

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