Abstract

A CLINICAL STUDY ON GASTRIC OUTLET OBSTRUCTION IN A SOUTH INDIAN TEACHING HOSPITAL

Author(s): K. Sailaja1, G. Rajani Devi2, R. Mahalakshmi3, P. Balamurali4

Gastric outlet obstruction is defined as a clinical and patho-physiological consequence of any disease process that produces a mechanical impediment to gastric emptying which may be extrinsic or intrinsic. Gastric outlet obstruction can be a diagnostic and treatment dilemma. Endoscopy of upper gastrointestinal tract has been a sensitive and specific investigation to study the status of gastric outlet -the pylorus and has enabled early detection of lesions of both stomach and duodenum. We undertook a prospective clinical study regarding incidence, etiology, investigation and management of cases of Gastric outlet obstruction in adults in a period of three years. In our study the most common cause of GOO is Carcinoma stomach antral region 46.6%, duodenal ulcer 33.3%, corrosive acid ingestion sequel 8.3%, peri ampullary carcinoma 6.6%, Ca pancreas 3.3%%, cholangio Carcinoma 1.6%. Males are more commonly involved in a ratio of M: F=3:1. Surgical procedures done varied from definitive resections to palliative bypass or feeding jejunostomy for enteral feeding.0

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