Postbulbar duodenal ulcer in a patient with pentagastrin-fast achlorhydria |
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| Authors: | M Goldschmiedt W L Peterson F Vuitch M Feldman |
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| Affiliation: | Medical Service, Veterans Administration Medical Center; Dallas, Texas. |
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| Abstract: | This report describes the clinicopathologic features of a 55-yr-old man found to have a bleeding, postbulbar duodenal ulcer and fasting hypergastrinemia. Gastric analysis revealed pentagastrin-fast achlorhydria. Healing of the ulcer was documented 8 wk after vagotomy, antrectomy, gastrojejunostomy, and a course of sucralfate therapy. The etiology of the postbulbar ulcer was uncertain. This is the first documented case of a duodenal ulcer with pentagastrin-fast achlorhydria. |
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