{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T07:14:22Z","timestamp":1697008462379},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2008,3,25]],"date-time":"2008-03-25T00:00:00Z","timestamp":1206403200000},"content-version":"vor","delay-in-days":11437,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Australian and New Zealand Journal of Medicine"],"published-print":{"date-parts":[[1976,12]]},"abstract":"<jats:p><jats:bold>Summary: <\/jats:bold> Double pylorus: A complication of chronic gastric ulcer? D. J. B. St. John, G. J. Carter, B. W. Smith and W. B. Essex, Aust. N.Z. J Med,. 1976, 6, pp. 576\u2013579.<\/jats:p><jats:p>A case of double pylorus with a chronic ulcer in one of the two channels is described. The patient, a middle\u2010aged man with active rheumatoid arthritis, required partial gastrec \u2010tomy to allow continued treatment of the arthritis with anti\u2010inflammatory drugs. Detailed histological examination of the surgical specimen revealed features consistent with intramural penetration of an ulcer across the pyloric ring, resulting in a gastro\u2010duodenal fistula. The finclings provide further support for the hypothesis that the double pylorus is an acquired lesion, which occurs as an uncommon complication of chronic peptic ulcer.<\/jats:p>","DOI":"10.1111\/j.1445-5994.1976.tb03999.x","type":"journal-article","created":{"date-parts":[[2008,3,25]],"date-time":"2008-03-25T12:39:21Z","timestamp":1206448761000},"page":"576-579","source":"Crossref","is-referenced-by-count":1,"title":["Double Pylorus: A Complication of Chronic Gastric Ulcer?"],"prefix":"10.1111","volume":"6","author":[{"given":"D. J. B. St.","family":"John","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. J.","family":"Carter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. W.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. B.","family":"Essex","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,3,25]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(69)80133-2"},{"key":"e_1_2_1_3_2","first-page":"1485","article-title":"Pylore double: malformation congenitale","volume":"47","author":"Christien G.","year":"1971","journal-title":"Sent. H\u00f4p. 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