Radiologic features of gastric outlet obstruction in infants after long-term prostaglandin administration

1995 ◽  
Vol 25 (1) ◽  
pp. 41-43 ◽  
Author(s):  
P. Babyn ◽  
N. Peled ◽  
D. Manson ◽  
O. Dagan ◽  
M. M. Silver ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Radiologic Features

scholarly journals Su1281 EFFICACY AND LONG-TERM OUTCOMES OF ENDOSCOPIC SELF-EXPANDING METAL STENTS IN MALIGNANT GASTRIC OUTLET OBSTRUCTION

2018 ◽  
Vol 87 (6) ◽  
pp. AB310
Author(s):  
James Kim ◽  
Mark A. Schattner ◽  
Emmy Ludwig ◽  
Robin Mendelsohn ◽  
Arnold J. Markowitz ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Metal Stents ◽  
Long Term Outcomes ◽  
Malignant Gastric Outlet Obstruction ◽  
Self Expanding Metal Stents

Carcinoid Tumour Presenting as Recurrent Gastric Outlet Obstruction: A Case of Long-Term Survival

1987 ◽  
Vol 32 (2) ◽  
pp. 54-55 ◽  
Author(s):  
S.T. Green ◽  
J.K. Drury ◽  
J. McCallion ◽  
L. Erwin
Keyword(s):  
Gastric Outlet Obstruction ◽  
Carcinoid Tumour ◽  
Outlet Obstruction ◽  
Term Survival ◽  
Long Term Survival ◽  
Gastric Tumour

A rare gastric tumour which presented on two occasions with gastric outlet obstruction is described. The important feature is that a gastric tumour presenting in this manner is not necessarily carcinoma.

scholarly journals IgG4-related disease as a rare cause of gastric outlet obstruction: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lina Chen ◽  
Abdulaziz Almudaires ◽  
May Alzahrani ◽  
Karim Qumosani ◽  
Subrata Chakrabarti
Keyword(s):  
Gastric Outlet Obstruction ◽  
Gastrointestinal Symptoms ◽  
Outlet Obstruction ◽  
Case Presentation ◽  
Related Disease ◽  
Igg4 Related Disease ◽  
Duodenal Stricture ◽  
Whipple’S Procedure ◽  
Antral Ulcer

Abstract Background IgG4-related disease involvement of the digestive tract is very rare. In few reported cases of isolated gastric/duodenal IgG4-related disease, none of which resulted in luminal obstruction. Case presentation A 59 years old female presented with longstanding gastrointestinal symptoms. CT showed mural thickening of the proximal duodenum. Gastroscopy showed antral ulcer extending into the duodenum with outlet obstruction and biopsy showed acute on chronic duodenitis. Whipple’s procedure was performed and IgG4-related disease was diagnosed on final pathology. Symptoms were revolved on mycophenolate mofetil and prednisone with no recurrence. Conclusions Our case is the only reported case with gastric outlet obstruction secondary to gastroduodenal IgG4-related disease. The diagnosis should be considered in the differential diagnosis of unexplained duodenal stricture, gastric outlet obstruction or gastrointestinal ulceration. IgG4-related disease usually responds to steroids but long-term response rates to steroid-sparing agents, especially in the subset of patients with luminal IgG4-related disease remains to be determined.

scholarly journals Comparative study of outcome and complications of surgical management of benign gastric outlet obstruction

2020 ◽  
Vol 7 (7) ◽  
pp. 2283
Author(s):  
Dinesh Prasad ◽  
Yash Patel
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Distal Stomach ◽  
Perioperative Morbidity ◽  
Short And Long Term ◽  
Open Gastrojejunostomy ◽  
Time Of Presentation ◽  
Very High

Background: Gastric outlet obstruction (GOO) implies complete or incomplete obstruction of the distal stomach, pylorus, or proximal duodenum. There are many causes of benign GOO like acid ingestion, pyloric stenosis, peptic ulcer etc. The main aims of this study were to compare the perioperative morbidity and short and long term complications of different procedures for benign gastric outlet obstruction.Methods: This non-randomised retrospective study was undertaken in the department of General Surgery, SMIMER Hospital, Surat, Gujarat, India from August 2016 to July 2019. Thirty patients had been operated during this period and included in the study. Records of all 30 patients were retrieved and analysed. All these patients underwent pre-operatively upper GI scopy with biopsy and CECT abdomen.Results: Nausea and Vomiting was most common symptoms at time of presentation in our study. Incidence of wound infection in open Gastrojejunostomy group was very high i.e. 25% and hospital stay was also very high in open Gastrojejunostomy group. Post-operative PPI dependence was more common in Gastro-jejunostomy group in all follow up and there was no any requirement of PPI in Heineke-Mikukicz and Finney’s pyloroplasty group.Conclusions: On comparison of different surgical modalities for management of benign GOO, all surgeries performed laparoscopically were safe and carried comparatively less morbidities (perioperative, short term and long term) in comparison to open methods. Among all three laparoscopic procedures, outcome of laparoscopic pyloroplasty, both H-M pyloroplasty and Finney’s pyloroplasty were better than laparoscopic gastro-jejunostomy.

scholarly journals Endoscopic balloon dilatation is an effective management strategy for caustic-induced gastric outlet obstruction: a 15-year single center experience

2019 ◽  
Vol 07 (01) ◽  
pp. E53-E61 ◽  
Author(s):  
Rakesh Kochhar ◽  
Sarthak Malik ◽  
Yalaka Reddy ◽  
Bipadabhanjan Mallick ◽  
Narendra Dhaka ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Balloon Dilatation ◽  
Clinical Success ◽  
Tertiary Care ◽  
Outlet Obstruction ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

Abstract Background and study aims There is sparse data on the endoscopic management of caustic-induced gastric outlet obstruction (GOO). The present retrospective study aimed to define the response to endoscopic balloon dilatation (EBD) in such patients and their long-term outcome. Patients and methods The data from symptomatic patients of caustic-induced GOO who underwent EBD at our tertiary care center between January 1999 and June 2014 were retrieved. EBD was performed using wire-guided balloons in an incremental manner. Procedural success and clinical success of EBD were evaluated, including complications and long-term outcome. Results A total of 138 patients were evaluated of whom 111 underwent EBD (mean age: 30.79 ± 11.95 years; 65 male patients; 78 patients with isolated gastric stricture; 33 patients with both esophagus plus gastric stricture). The initial balloon diameter at the start of dilatation, and the last balloon diameter were 9.6 ± 2.06 mm (6 – 15 mm) and 14.5 ± 1.6 mm (6 – 15 mm), respectively. Procedural and clinical success was achieved in 95 (85.6 %) and 108 (97.3 %) patients, respectively, requiring a mean (SD) of 5.3 (2.6) and 7.21 (3.86) sessions, respectively. Patients with isolated gastric obstruction had a better response than those with combined esophagus and gastric stricture. Minor complications such as self-limited pain or bleeding were seen in 18 (16.2 %) and 16 (14.4 %), respectively. Perforation occurred in two patients. Over a follow-up period of 98 months, there were no recurrences. Conclusion Caustic-induced GOO can be successfully managed using EBD with 97.3 % clinical success.

scholarly journals Durability and long-term outcomes of direct EUS-guided gastroenterostomy using lumen-apposing metal stents for gastric outlet obstruction

2019 ◽  
Vol 07 (02) ◽  
pp. E144-E150 ◽  
Author(s):  
Tossapol Kerdsirichairat ◽  
Shayan Irani ◽  
Juliana Yang ◽  
Olaya Brewer Gutierrez ◽  
Robert Moran ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Clinical Success ◽  
Outlet Obstruction ◽  
Metal Stents ◽  
Procedure Time ◽  
Technical Success ◽  
Long Term Outcomes ◽  
Oral Diet

Abstract Background and study aims EUS-guided gastroenterostomy (GE) is a novel, minimally invasive endoscopic procedure for the treatment of gastric outlet obstruction (GOO). The direct-EUS-GE (D-GE) approach has recently gained traction. We aimed to report on a large cohort of patients who underwent DGE with focus on long-term outcomes. Patients and methods This two-center, retrospective study involved consecutive patients who underwent D-GE between October 2014 and May 2018. The primary outcomes were technical and clinical success. Secondary outcomes were adverse events (AEs), rate of reintervention, procedure time, time to resume oral diet, and post-procedure length of stay (LOS). Results A total of 57 patients (50.9 % female; median age 65 years) underwent D-GE for GOO. The etiology was malignant in 84.2 % and benign in 15.8 %. Technical success and clinical success were achieved in 93 % and 89.5 % of patients, respectively, with a median follow-up of 196 days in malignant GOO and 319.5 days in benign GOO. There were 2 (3.5 %) AEs, one severe and one moderate. Median procedure time was 39 minutes (IQR, 26 – 51.5 minutes). Median time to resume oral diet after D-GE was 1 day (IQR 1 – 2 days). Median post D-GE LOS was 3 days (IQR 2 – 7 days). Rate of reintervention was 15.1 %. Conclusions D-GE is safe and effective in management of both malignant and benign causes of GOO. Clinical success with D-GE is durable with a low rate of reintervention based on a long-term cohort.

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