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From question on page 10.1136/gut.2006.114942

Gastroscopy (fig 1) revealed a double pylorus (A, normal pyloric ring; B fistula ring with ulcer) and portal hypertensive gastropathy. A peptic ulcer (C) and a 1.5 cm long gastroduodenal fistula (D) were visualised by Peritrast™ swallow in the early contrast …

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