Endoscopic resection of a large submucosal tumor causing intermittent gastric outlet obstruction using a novel radiofrequency enabled device

2021 ◽  
Author(s):  
Zaheer Nabi ◽  
Mohan Ramchandani ◽  
Santosh Darisetty ◽  
D Nageshwar Reddy
Keyword(s):  
Gastric Outlet Obstruction ◽  
Submucosal Tumor ◽  
Outlet Obstruction ◽  
Benign Tumors ◽  
Endoscopic Techniques ◽  
Bipolar Radiofrequency ◽  
Submucosal Lesions ◽  
Gastric Lipoma ◽  
Submucosal Lesion ◽  
Upper Gastrointestinal

Gastric lipomas are rare benign tumors and account for 1-3% of all benign gastric tumors. Majority of the gastric lipomas are asymptomatic and do not demand resection. However, large gastric lipomas may present with upper gastrointestinal bleeding and more rarely gastric outlet obstruction. Traditionally, surgery has been utilized for the management of giant gastric lipomas. More recently, endoscopic techniques are increasingly utilized for the resection of gastric submucosal lesions. Here we describe a case with large gastric lipoma who presented with symptoms suggestive of gastric outlet obstruction. Gastroscopy revealed a large (6 cm) submucosal lesion with a broad peduncle located in antrum. The tumor was prolapsing into duodenum thereby, completing occluding the pylorus. In this case, we performed endoscopic submucosal dissection using a novel, bipolar radiofrequency device. The dissection was completed without any complication.

Stepwise endoscopic resection of a large gastric lipoma causing gastric outlet obstruction and GI bleeding

2016 ◽  
Vol 84 (1) ◽  
pp. 180 ◽  
Author(s):  
Alejandro L. Suarez ◽  
Darin L. Dufault ◽  
Molly C. Mcvey ◽  
Akshay Shetty ◽  
B. Joseph Elmunzer
Keyword(s):  
Endoscopic Resection ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Gi Bleeding ◽  
Gastric Lipoma

scholarly journals The Development of Gastric Outlet Obstruction due to a Lumen-occupying Protruding Duodenal Ulcer Mimicking a Submucosal Tumor

2019 ◽  
Vol 58 (9) ◽  
pp. 1267-1271
Author(s):  
Tesshin Ban ◽  
Hiroshi Kawakami ◽  
Yoshimasa Kubota ◽  
Atsushi Nanashima ◽  
Koichi Yano ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Gastric Outlet Obstruction ◽  
Submucosal Tumor ◽  
Outlet Obstruction

scholarly journals Capsule-strip- An Unusual Cause of Acute Gastric Outlet Obstruction: A Case-Report

2013 ◽  
Vol 5 (1) ◽  
pp. 67-68
Author(s):  
AHM Rowshon ◽  
AKM Rafique Uddin
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Pyloric Ring ◽  
Gi Endoscopy ◽  
Blood Tests ◽  
History Of ◽  
Colicky Pain ◽  
Upper Gastrointestinal

A male patient presented with seven days history of severe epigastric colicky pain and vomiting. The patient was anxious and dehydrated. Blood tests and ultrasound reports were unremarkable. . Upper Gastrointestinal (GI) Endoscopy revealed a strip of capsule impacted at pyloric ring which was removed endoscopically and the patient became symptom free. DOI: http://dx.doi.org/10.3329/jssmc.v5i1.16252 J Shaheed Suhrawardy Med Coll, 2013;5(1):67-68

Bouveret-szindróma

2021 ◽  
Vol 162 (49) ◽  
pp. 1982-1986
Keyword(s):  
Gastric Outlet Obstruction ◽  
Elderly Women ◽  
Epigastric Pain ◽  
Outlet Obstruction ◽  
Abdominal Ultrasound ◽  
Therapeutic Options ◽  
Upper Gastrointestinal Endoscopy ◽  
Rare Form ◽  
Bouveret Syndrome ◽  
Upper Gastrointestinal

Összefoglaló. A Bouveret-szindróma egy bilioenteralis fistulán keresztül a vékonybélbe – az esetek 85%-ában a duodenumba – jutó nagy epekő okozta bélelzáródást jelenti. Leggyakrabban idős nők körében fordul elő. Jelen közleményünk célja e kórkép tüneteinek, diagnosztikájának és terápiás lehetőségeinek ismertetése egy esetbemutatás kapcsán. A 79 éves nőbeteg felvételi hasi panaszainak hátterében típusos gyomorkimenet-obstrukciós szindrómát okozó, a duodenumban beékelődött epekő, Bouveret-szindróma igazolódott. A diagnózist az elvégzett natív hasi röntgen és hasi ultrahangvizsgálatok már felvetették, de megerősítésére további képalkotó vizsgálatot (hasi CT) és endoszkópos beavatkozást végeztünk. Ezt követően sebészeti beavatkozás történt, melynek során a cholecystoduodenalis fistula zárása és az epekő eltávolítása után a beteg gyógyultan távozott. Közleményünkben a diagnózisfelállítás idejének fontosságáról, illetve a terápiás lehetőségekről számolunk be, valamint szeretnénk felhívni a figyelmet az epekő okozta gyomorürülési zavar ezen ritka formájára. Orv Hetil. 2021; 162(49): 1982–1986. Summary. Bouveret syndrome is a rare form of bowel obstruction resulting to the small intestine – in 85% of the cases to the duodenum – caused by a gallstone from a bilioenteral fistula. It occurs most commonly in elderly women. The aim of the present study is to describe the symptoms, diagnostic and therapeutic options of Bouveret syndrome due to our case report. The background of epigastric pain of the 79-year-old woman was the typical gastric outlet obstruction syndrome caused by Bouveret syndrome with an impacted gallstone into the duodenum. This diagnosis was suggested by abdominal X-ray and abdominal ultrasound; however, it was confirmed with abdominal computer tomography and upper gastrointestinal endoscopy. This was followed by surgical intervention to close the cholecystoduodenal fistula and remove the gallstone, finally the cured patient was discharged. In our study, we summarize the importance of timely diagnosis and therapeutic options, respectively, furthermore, draw attention to this rare form of gallstone-caused gastric outlet obstruction syndrome. Orv Hetil. 2021; 162(49): 1982–1986.

scholarly journals Medication Bezoar Causing acute Gastric Outlet Obstruction: A Case Report

2016 ◽  
Vol 33 (3) ◽  
pp. 177-180 ◽  
Author(s):  
Md Abdul Mazid
Keyword(s):  
Gastric Outlet Obstruction ◽  
Epigastric Pain ◽  
Outlet Obstruction ◽  
Uneventful Recovery ◽  
Upper Gastrointestinal Endoscopy ◽  
Abdominal Ultrasonography ◽  
Life Threatening ◽  
History Of ◽  
Upper Gastrointestinal ◽  
Made In

Medication bezoars are rare and are composed of medications and/or medication vehicles. Rarely, medication bezoars can cause serious problems due to complications such as perforation, obstruction, haemorrhage. A 60 years old woman presented with 10 days history of epigastric pain, weakness and postprandial non-bilious vomiting. Her abdominal ultrasonography showed strong post acoustic shadow noted within 1st part of duodenum possibly foreign body. Upper gastrointestinal endoscopy was performed and a bezoar of tablet of aluminum hydroxide was extracted. The patient had uneventful recovery. Acute gastric outlet obstruction is relatively uncommon and mostly due to foreign bodies related to food impaction, with meat being the most frequent culprit. The diagnostic approach to acute gastric outlet obstruction is similar to other cause of GOO. However, therapeutic options differ for each patient. The diagnosis should be made in prompt time to prevent life threatening complications due obstruction and/or effect of medication forming bezoar.J Bangladesh Coll Phys Surg 2015; 33(3): 177-180

WITHDRAWN: Giant gastric lipoma presenting as partial gastric outlet obstruction

2019 ◽  
Author(s):  
Mel A. Ona ◽  
Emmanuel Ofori ◽  
Daryl Ramai ◽  
Denzil Etienne ◽  
Madhavi Reddy
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Gastric Lipoma
Sign in / Sign up

Export Citation Format

Share Document