scholarly journals Duplication Cyst in the Third Part of the Duodenum Presenting with Gastric Outlet Obstruction and Severe Weight Loss

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Osama Shaheen ◽  
Samer Sara ◽  
Mhd Firas Safadi ◽  
Bayan Alsaid
Keyword(s):  
Weight Loss ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Duplication Cyst ◽  
Upper Endoscopy ◽  
Developmental Abnormality ◽  
The Third ◽  
Duodenal Duplication ◽  
Adjacent Structures ◽  
Infancy And Childhood

Duodenal duplication is a rare developmental abnormality which is usually diagnosed in infancy and childhood, but less frequently in adulthood. We report a case of a 16-year-old female with a duplication cyst in the third part of the duodenum. The patient presented with symptoms of gastric outlet obstruction, including severe anorexia and weight loss. The diagnosis was made preoperatively by CT scan and upper endoscopy. The cyst was successfully treated by marsupialization on the duodenum using a GIA stapler. Duodenal duplication presents with a wide variety of symptoms. Although illusive, many cases can be properly diagnosed preoperatively by using the appropriate imaging modalities. Treatment choices are tailored according to the size and location of the cyst, in addition to its relation to adjacent structures. The outcomes are favorable in the majority of patients.

scholarly journals Duodenal duplication cyst presenting with gastric outlet obstruction in an adult male

Endoscopy ◽  
2011 ◽  
Vol 43 (S 02) ◽  
pp. E352-E353 ◽  
Author(s):  
A. McArdle ◽  
J. Conneely ◽  
N. Ravi ◽  
J. Reynolds
Keyword(s):  
Gastric Outlet Obstruction ◽  
Adult Male ◽  
Outlet Obstruction ◽  
Duplication Cyst ◽  
Duodenal Duplication ◽  
Duodenal Duplication Cyst

scholarly journals Giant Hepatic Hemangioma Presenting as Gastric Outlet Obstruction

2013 ◽  
Vol 98 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Cemalettin Aydin ◽  
Sami Akbulut ◽  
Koray Kutluturk ◽  
Aysegul Kahraman ◽  
Cuneyt Kayaalp ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Gastric Outlet Obstruction ◽  
Benign Tumor ◽  
Significant Proportion ◽  
Outlet Obstruction ◽  
Left Lobe ◽  
Hepatic Hemangioma ◽  
Giant Hepatic Hemangioma

Abstract Hemangioma, a most frequently encountered primary benign tumor of the liver, is generally determined incidentally during the course of radiologic tests for other reasons. Most lesions are less than 3 cm and a significant proportion of patients are asymptomatic, although the size and location of the lesion in some patients may be associated with the onset of symptoms. Pressure on the stomach and duodenum of giant hemagiomas developing in the left lobe of the liver, in particular, may result in the development of abdominal pain, nausea, vomiting, and feeling bloated, which are characteristic of a gastric outlet obstruction. A 42-year-old man presented with findings of gastric outlet obstruction and weight loss as a result of a giant hepatic hemangioma.

Clinical outcomes in patients undergoing multiple self-expandable metallic stent placement by stent in stent technique for malignant gastric outlet obstruction.

2019 ◽  
Vol 37 (4_suppl) ◽  
pp. 88-88
Author(s):  
Jinwon MO ◽  
Jie-Hyun Kim ◽  
Seung Yong Shin ◽  
Da Hyun Jung ◽  
Jae Jun Park ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Stent Placement ◽  
Clinical Success ◽  
Outlet Obstruction ◽  
Metallic Stent ◽  
Sems Placement ◽  
Stent Patency ◽  
Malignant Gastric Outlet Obstruction ◽  
The Third ◽  
Expandable Metallic Stent

88 Background: Self-expandable metallic stent (SEMS) placement is widely used for relieving the obstructive symptoms of malignant gastric outlet obstruction (MGOO). The aims were to evaluate the efficacy and safety of multiple gastroduodenal stent placement by stent in stent technique and identify predictive factors about stent patency. Methods: We retrospectively analyzed data from 170 patients with GOO receiving SEMS by stent in stent technique from July 2006 to July 2018. Among them, 90 patients had been treated with gastroduodenal SEMS placement for MGOO. Technical and clinical success rates were evaluated. And, clinical outcomes with predictors of stent patency were also analyzed. Results: Among the subjects, 34.4% were treated with secondary SEMS placement, and 9.7% were treated with third SEMS placement because of the previous stent dysfunction. The median stent patency time was 15.7 weeks (range 0-89) in the first SEMS, 10.4 weeks (range 0-44) in the second SEMS, and 11.3 weeks (range 1-29) in the third SEMS. The technical and clinical success rate were 100% and 97.8% in the first SEMS, 100% and 90.3% in the second SEMS, 100% and 100% in the third SEMS. In multivariable analysis, the first SEMS placement of covered type including Comvi stent was correlated with prolonged stent patency (OR 4.549, P = 0.001). And both chemotherapy after the first SEMS placement (OR 8.248, P = 0.006) and chemotherapy after the second SEMS placement (OR 7.467, P = 0.003) were correlated with prolonged stent patency. Serious complications such as gastrointestinal hemorrhage or perforation did not occur in any patient. Conclusions: Secondary and third gastroduodenal SEMS placement by stent in stent technique is a safe and effective treatment for the first stent dysfunction in MGOO. The stent placement of covered type and chemotherapy after stent placement is the predictor of stent patency. Keywords: Malignant gastric outlet obstruction, Self-expandable metallic stent, Stent in stent technique, Stent patency, Predictive factor

scholarly journals Primary Duodenal Mucosa-Associated Lymphoid Tissue (Malt) Lymphoma – a Rare Presentation of Gastric Outlet Obstruction

2007 ◽  
Vol 21 (6) ◽  
pp. 393-395 ◽  
Author(s):  
Tamar Tadmor ◽  
Tova Rainis ◽  
Jacob Bejar ◽  
Dina Attias ◽  
Alexandra Lavy
Keyword(s):  
Small Intestine ◽  
Malignant Lymphoma ◽  
Malt Lymphoma ◽  
Gastric Outlet Obstruction ◽  
Lymphoid Tissue ◽  
Outlet Obstruction ◽  
Duodenal Mucosa ◽  
Rare Presentation ◽  
Rare Neoplasm ◽  
The Third

Malignant lymphoma of mucosa-associated lymphoid tissue (MALT) can arise in a variety of anatomical sites. The majority of these tumors arise in the stomach, with fewer than 30% arising in the small intestine. Primary duodenal MALT lymphoma is a very rare neoplasm. There are very few cases of duodenal MALT lymphoma reported in the literature. This is the third published case presenting clinically as a gastric outlet obstruction. The patient was successfully treated with a combination of chemotherapy and rituximab.

scholarly journals OESOPHAGEAL & GASTRIC CARCINOMA;

2017 ◽  
Vol 24 (08) ◽  
pp. 1105-1109
Author(s):  
Ambreen Mannan ◽  
Suhail Ahmed Soomro ◽  
Tek Chand Maheshwari ◽  
Muhammad Hussain Laghari
Keyword(s):  
Weight Loss ◽  
Gastric Outlet Obstruction ◽  
Complication Rate ◽  
Outlet Obstruction ◽  
University Hospital ◽  
Electrolyte Imbalance ◽  
Billroth I ◽  
Carcinoma Of Esophagus ◽  
Carcinoma Stomach ◽  
Age Range

Objectives: To know the frequency of gastroesophageal carcinoma andits management at Isra University Hospital Hyderabad Sindh. Study Design: Descriptive,Prospective. Place and Duration of Study: Isra University Hospital Hyderabad during the periodof January 2014 to January2016. Patient and Methods: Fifty two patients with gastroesophagealmalignancy were scrutinized for elective and emergency surgery according to the stage andtumor resectability & observed for postoperative complication rate. Data is prepared in SPSSversion 17. Inclusion Criteria: Carcinoma of esophagus and stomach. Exclusion Criteria:Benign lesions of esophagus and stomach (Tuberculosis, Bourevet’s syndrome, Band ofLadd’s, Diaphragmatic Hernia, Phyto/Tricobezoar). Gastric outlet obstruction (GOO) causedby bilio pancreatic, retroperitoneal or abdominal wall mass. Results: Among fifty two patients11(22%) were with carcinoma of esophagus and 41(78%) with carcinoma stomach causingGOO; accounting 38(73%) male & 14(27%) females with age range of 29-69 years. Majorpresenting complaints of carcinoma of esophagus were progressive dysphagia from solid toliquid with significant weight loss while history of heamatemesis was found in only two patients.Carcinoma stomach mainly presented with symptoms of gastric outlet obstruction (GOO);partial or complete I.e. vomiting, fullness and epigastric mass with weight loss. Out of total 52patients; 35 were biopsied and staged preoperatively while 17 patients could not be biopsiedbefore surgery either because of inadequate tissue specimen or scope negotiation problem.However after surgery their biopsy was found out malignant. All such patients were optimizedbefore surgery for correction of hemoglobin, electrolyte imbalance and nutritional supportFeeding jejunostom & gastrojejunostomy were mainly performed for carcinoma esophagus andstomach while for resectable tumors Ivor Lewis, McKeon or Billroth I or II were also performedaccording to the general patient condition and the local resectability of the tumor mass. Ourpost-operative complication rate was 26% and comprised nausea, vomiting, wound infection,and delayed gastric emptying which were treated conservatively. Our operative mortality wasnone. Conclusion: Most of our cases were in advanced stage of malignancy which was mainlydealt with Feeding jejunostomy & Gastrojejunostomy. However Esophagogastric intubation inadvanced malignancy is the safe & effective alternative if available.

scholarly journals Recurrent Acute Pancreatitis Secondary to a Duodenal Duplication Cyst in an Adult. A Case Report and Literature Review

2009 ◽  
Vol 23 (11) ◽  
pp. 749-752 ◽  
Author(s):  
Nikolaos S Salemis ◽  
Christos Liatsos ◽  
Michail Kolios ◽  
Stavros Gourgiotis
Keyword(s):  
Acute Pancreatitis ◽  
Healthy Adult ◽  
Ampulla Of Vater ◽  
Duplication Cyst ◽  
Recurrent Acute Pancreatitis ◽  
Cyst Excision ◽  
Duodenal Duplication ◽  
Infancy And Childhood ◽  
Duodenal Duplication Cyst ◽  
Duodenal Lumen

Duodenal duplication cysts are rare congenital abnormalities that are most commonly diagnosed in infancy and childhood. However, in rare cases, the lesion can remain asymptomatic until adulthood. An extremely rare case of a previously healthy adult patient with recurrent acute pancreatitis, who was diagnosed with a duodenal duplication cyst is presented. At laparotomy, a duplication cyst measuring 4.8 cm × 4 cm × 4 cm was found adjacent to the ampulla of Vater. A partial cyst excision and marsupialization into the duodenal lumen was performed. The patient is healthy and asymptomatic four years after surgery. The present case illustrates the necessity of considering a duodenal duplication cyst in the differential diagnosis of recurrent acute pancreatitis in previously healthy adults.

scholarly journals Intraluminal pyloric duplication cyst- a rare cause of non-bilious vomiting in a neonate: A case report

2021 ◽  
Vol 10 ◽  
pp. 44
Author(s):  
Ravi Patcharu ◽  
Jaiprakash Yadav ◽  
Karunesh Chand ◽  
Badal Parikh
Keyword(s):  
Gastric Outlet Obstruction ◽  
Hypertrophic Pyloric Stenosis ◽  
Outlet Obstruction ◽  
Stable Condition ◽  
Duplication Cyst ◽  
Cystic Mass ◽  
Difficult Case ◽  
Bilious Vomiting ◽  
Recurrent Vomiting ◽  
Lesser Curvature

Background: Duplications of the alimentary tract are rare congenital malformations, out of which, true pyloric duplications constitute only 2.2%. They present with non-bilious vomiting and mimic hypertrophic pyloric stenosis (HPS). Pyloric duplications that are intraluminal are not separately visible at laparotomy, making their diagnosis difficult.  Case presentation: Our case is a neonate with an intraluminal pyloric duplication cyst who presented with recurrent vomiting. The radiological evaluation suggested a duplication cyst medial to the second part of the duodenum towards the stomach’s lesser curvature with features of gastric outlet obstruction. Intraoperatively, a cystic mass of 1 x 2 cm intraluminally was found on opening the pylorus which was excised and pyloroplasty was done. Postoperatively the baby was discharged in a stable condition. Conclusion: Intraluminal pyloric duplication cysts are rare and the clinical presentation mimics HPS. They should be considered as a differential diagnosis in a neonate presenting with features of gastric outlet obstruction.

scholarly journals PROFILE OF GASTRIC MALIGNANCIES PRESENTING AS GASTRIC OUTLET OBSTRUCTION – A ONE AND A HALF YEAR PROSPECTIVE STUDY FROM KASHMIR VALLEY

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Nisar Hussain Hamdani ◽  
Sumyra Khurshid Qadri ◽  
Zeeshan A Wani ◽  
Syed Asif A Shah ◽  
Sonaullah Kuchay
Keyword(s):  
Gastric Cancer ◽  
Weight Loss ◽  
Gastric Outlet Obstruction ◽  
Delayed Gastric Emptying ◽  
Outlet Obstruction ◽  
Pulmonary Complications ◽  
Common Symptom ◽  
Kashmir Valley ◽  
Medical College ◽  
Age Range

Background: Gastric adenocarcinoma is one of the frequent cancers seen in Kashmir valley. Patients often present with advanced disease and Gastric Outlet obstruction (GOO). We studied the profile and management of patients presenting with malignant GOO due to Gastric cancer at our center. Methods: A prospective one and half year study from May 2018 to Dec 2019 was done in the Department of Surgical Gastroenterology, Government Medical College, Srinagar. All adult patients with clinical and endoscopic evidence of malignant gastric outlet obstruction and features of gastric cancer were included. Results: Twenty three patients with GOO due to Gastric malignancies were noted in this period with a M:F ratio of 1.9:1 and age range of 32 to 79 years. Vomiting was the most common symptom present in 83 % patients followed by early satiety which was present in 74% of cases. Though patients gave history suggestive of weight loss but only 17 % patients had a documented weight loss. Palliative gastrojejunostomy was done in 21 patients and Radical Distal gastrectomy was done in 2 patients. Surgical site infection was the most common (06 cases; 26%) complication in our group followed by delayed gastric emptying (04 cases; 17.4%) and pulmonary complications (03 cases; 13%). Conclusion: Gastrojejunostomy offers good palliation of symptoms in patients with GOO due to GC. It can be offered with equally good results by laparoscopic access.

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