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New Indian Journal of Surgery

Volume  13, Issue 1, January-March 2022, Pages 15-19

 

Original Article

Gastric Outlet Obstructions and its Management in a Tertiary Care Hospital
Prasad K,Gudla Krishnaveni, Suresh BP
Assistant Professor, 3Professor and HOD, Department of General Surgery, Subbaiah Institute of Medical Sciences, Shivamogga, Karnataka 577222, 2Surgical Resident, Department of General Surgery, Sahyadri Narayana Multi-speciality Hospital, Shivamogga, Karnataka, 577222, India.
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https://dx.doi.org/10.21088/nijs.0976.4747.13122.2

Abstract

Abstract
Background: Gastric Outlet Obstruction may be
caused by a heterogeneous group of diseases that
include both benign and malignant conditions. In
adults, mechanical obstruction due to ulcers, tumors
or gastric polyps are common causes of gastric outlet
obstruction. Until introduction of effective ulcer
therapy duodenal ulcer was the commonest cause
of gastric outlet obstruction and malignancy was
attributed to only 20% of the cases. Objectives: To
study the modes and presentation of presentation of
gastric outlet obstruction among patients suffering
from Duodenal ulcer diseases. Materials and
Methods: A Hospital based Prospective study was
conducted at Tertiary Care Centrefrom October
2017 to September 2019. A total of 100 cases of
Gastric outlet obstruction were diagnosed during
the study period. An elaborate study of these cases
with regard to the history, clinical features, routine
and special investigations, pre-operative treatment,
operative findings, postoperative management and
complications in post-operative period is done.
Results: A total of 100 cases with gastric outlet
obstruction were analyzed in our study. Out of the
100 cases with gastric outlet obstruction, 28 (28%)
were diagnosed with cicatrizes duodenal ulcer and
72 (72%) of them had carcinoma antrum. Majority
of the study subjects presented with pain, vomiting
and anorexia on admission. Pallor was seen in
nearly 68% of the study subjects followed by 56%
of the cases with VGP and 54% with succession
Splash. Only 28% of the subjects had palpable mass
on palpation. Conclusion: Upper Gastro intestinal
endoscopy should be mandatory in all suspected
cases of gastric outlet obstruction. It can diagnose
the cause of obstruction very effectively than any
other investigative modality. Effective treatment in
carcinoma stomach depends on early diagnosis.
 


Corresponding Author : Gudla Krishnaveni