EMANUEL M. RAPPAPORT, M.D., F.A.C.P.; ABE ALPER, M.D.; EUGENE O. RAPPAPORT, M.D.
The current literature is replete with reports of prolapse of the gastric mucosa through the pylorus as a prominent cause of symptoms.1, 2, 3, 4, 5 The latter have usually been described as nonspecific, and include epigastric pain, burning and fullness, nausea, vomiting and even hemorrhage. While the etiology of the condition is unknown, it is generally believed to be due to an increase in the normal mobility of the antral mucosa over the muscularis, with propulsion of the redundant mucosa through the pylorus during peristalsis. Thus the symptoms have been ascribed to a localized gastritis of the extruded mucosa,
RAPPAPORT EM, ALPER A, RAPPAPORT EO. FAILURE OF SURGERY TO RELIEVE SYMPTOMS IN PROLAPSE OF THE GASTRIC MUCOSA THROUGH THE PYLORUS1. Ann Intern Med. ;38:224–233. doi: 10.7326/0003-4819-38-2-224
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Published: Ann Intern Med. 1953;38(2):224-233.
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