Gastric outlet obstruction in adults in the University of Benin Teaching Hospital: A 5-year prospective study

2019 ◽  
Vol 4 (1) ◽  
pp. 10
Author(s):  
PeterIkponmwosa Agbonrofo ◽  
OmorodionO Irowa ◽  
VincentI Odigie
2019 ◽  
Vol 89 (6) ◽  
pp. AB543
Author(s):  
Haruo Miwa ◽  
Kazuya Sugimori ◽  
Takashi Kaneko ◽  
Tomohiro Ishii ◽  
Shigeru Iwase ◽  
...  

Author(s):  
Richard C. Echem ◽  
Phillip D. Eyimina ◽  
Vincent U. E. Adiela

Background: Ring entrapment is uncommon in our environment. It is necessary to remove entrapped rings and the removal techniques could be either destructive or non-destructive. The aim of this study is to present a non-destructive method of entrapped ring removal.Methods:   A prospective study of patients who presented to the University of Port Harcourt Teaching Hospital, Port Harcourt between 1st October 2007 and 30th September 2018, with entrapped finger ring(s). The authors developed a non-destructive technique of entrapped ring removal utilizing 1.5-2.5 mm electric cables. The cables are passed under the ring and looped over it. The surgeon and his first assistant applies traction towards the distal aspect of the finger through the cables while moving the cables from side to side around the finger, with the second assistant maintaining a counter-traction.  Data obtained was analyzed using IBM’s Statistical Package for Social Sciences (SPSS) version 23.Results:  During the period, there were 25 patients who had entrapped ring(s) in their fingers. Mean age was 22.92±9.33 years. There were 10 males and 15 females. Mean duration of ring entrapment was 5.72±4.57 days. Mean duration of ring removal was 63.6±46.58 seconds. Abrasion was the most common complication following initial removal attempts as well as this technique. The entrapped rings were all successfully removed.Conclusion: The electric cable technique is a simple, inexpensive and readily available method of entrapped ring removal. 


2017 ◽  
Vol 2 (2) ◽  
pp. 219-221
Author(s):  
Deepak Kumar Thakur ◽  
B Ghimire ◽  
YP Singh

IntroductionGastric outlet obstruction (GOO) involves obstruc_on in the antro-pyloric region or bulb of duodenum. Malignancy is common cause of GOO in adults but many patients with GOO have benign causes. Despite the improvement in medical management, about 5% patients with complicated duodenal ulcer disease and 1%-2% with complicated gastric ulcer disease respectively develop this problem.ObjectiveThe purpose of this study was to find the etiologies of GOO, their management options and outcome in Tribhuvan University Teaching Hospital.MethodologyIn this retrospective study, the records of 44 patients admited with diagnosis of GOO from September 2007 to August 2010 in the Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal were retrieved. Patients' demography, etiologies of GOO, treatment given and their outcome were analysed.ResultsThirty two patients (73%) were male and 12 (27%) were female with M:F ratio of 2.7:1. The mean age of patients was 57.40 years and duration of symptoms 2.68 months. Carcinoma of stomach, 28 cases (64%) was most common ecology of GOO followed by PUD, 9 (21%), duodenal malignancy,3 (7%), corrosive stricture, 2 (5%), advanced gallbladder carcinoma, 1 (2%) and chronic pancreatis, 1 (2%). Seventeen (39%) patients were treated by gastrojejunostomy, 14 (32%) by subtotal gastrectomy and gastrojejunostomy, 5 (11%) by truncal vagotomy and gastrojejunostomy, 4 (9%) by medical management, 2 (4.5%) by feeding jejunostomy, and 2 (4.5%) were discharged on request. Complications occurred in 7 (16%) patients and mortality in 1 (2%). Twenty three (52%) patients were candidates for chemotherapy either in an adjuvant or palliative seting.ConclusionGastric malignancy was the most common cause of gastric outlet obstruction. Most of the patients in our setup presented with advanced disease and were candidates of palliative treatment only. Birat Journal of Health Sciences Vol.2/No.1/Issue 2/ Jan - April 2017, Page: 219-221


JGH Open ◽  
2020 ◽  
Vol 4 (4) ◽  
pp. 729-735
Author(s):  
Haruo Miwa ◽  
Kazuya Sugimori ◽  
Takashi Kaneko ◽  
Tomohiro Ishii ◽  
Shigeru Iwase ◽  
...  

2012 ◽  
Vol 75 (4) ◽  
pp. AB491
Author(s):  
Takashi Sasaki ◽  
Hiroyuki Isayama ◽  
Iruru Maetani ◽  
Yousuke Nakai ◽  
Hirofumi Kogure ◽  
...  

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