GASTRIC OUTLET OBSTRUCTION- CLINICAL PRESENTATIONS AND ITS SURGICAL MANAGEMENT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 6
Abstract
BACKGROUND Gastric outlet obstruction (GOO) mechanically impedes gastric emptying, normal emptying of the stomach. It is a diagnostic and therapeutic challenge for general surgeons in their daily practice. This paper highlights the aetiology, clinical presentation and treatment outcome of GOO. MATERIALS AND METHODS A descriptive study was conducted on patients with GOO treated at Rajarajeswari Medical College and Hospital, Bangalore during September 2015 to August 2017. Data was tabulated and analysed using descriptive statistical methodology. RESULTS Carcinoma stomach with antral growth and cicatrised duodenal ulcer (both 41.5%) were the most common cause of gastric outlet obstruction. Males were more affected than females (2.5: 1). Most common symptom was vomiting and abdominal pain (noted among all) followed by loss of appetite (83%) and loss of weight (82.35%). 94.1% patients of Cicatrised duodenal ulcer underwent truncal vagotomy with posterior gastrojejunostomy and 5.9% underwent truncal vagotomy with antrectomy. 58.8% patients of carcinoma stomach underwent distal gastrectomy with antecolic Roux-en-Y gastrojejunostomy, 12.1% patients underwent subtotal gastrectomy with antecolic and Roux-en-Y gastrojejunostomy and 4.8% patients underwent palliative gastrojejunostomy. In corrosive antral stricture, Billroth I gastrectomy was done. Patients of pancreatic malignancy underwent palliative anterior gastrojejunostomy and pseudopancreatic cyst was treated by cystojejunostomy. The average hospital stay was 10 - 14 days and an overall mortality of 5.8% for malignant patients was noted. CONCLUSION Study concludes that gastric outlet obstruction is an important and a common surgical condition in a tertiary hospital. Malignancy and benign cicatrised duodenal ulcer being the most common cause.
Authors and Affiliations
Tejas A. P, Srinivas B Kulkarni, Sagar H. C
Keywords
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- EP ID EP399008
- DOI 10.14260/jemds/2018/166
- Views 60
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