ABSTRACT
We describe the clinical scenario in an 80 year old female who presented with history of epigastric discomfort and postprandial fullness of three weeks. duration without any alarming symptoms. On upper GI endoscopy she was found to have gastric polyp with a long stalk which was partially obstructing her pyloric ring giving rise to features of intermittent gastric outlet obstruction Polypectomy was done with complete relief of symptoms .She is following our clinic for last 6 months now. Although possibility of malignant etiology in gastric out let obstruction ranks high in the elderly some patients are lucky to have a benign cause as the index case. Report of the case and brief review is presented
Subject(s)
Aged , Endoscopy , Gastric Outlet Obstruction , Signs and SymptomsABSTRACT
Objective. To investigate the utility of gastrojejunostomy for the palliation of gastric outlet obstruction in irresectable or incurable gastric carcinoma. Methods. This is a retrospective review of 67 patients who underwent a gastrojejunostomy for gastric outlet obstruction caused by gastric carcinoma between 1 January 1996 and 31 May 2003. Results. There were 19 complications after surgery; including 4 patients with unsatisfactory gastrojejunostomy drainage. Sixty patients were discharged from hospital having resumed normal eating. Their median survival after surgery was 9 months. Conclusion. Gastrojejunostomy offers worthwhile palliation and may prolong survival in a significant group of patients with irresectable gastric carcinoma and gastric outlet obstruction
Subject(s)
Carcinoma , Gastric Outlet Obstruction/surgeryABSTRACT
Twenty six-adults referred to the Radiology Department; Mulago Hosptial with clinical signs of gastric outlet obstruction were prospectively studied. Relevant demographic data were noted following which the patients underwent a standard upper gastro-intestinal tract (GIT) Barium study in order to define the site; extent and cause of their obstruction. In addition; they underwent endoscopy nad surgery for further diagnostic and therapeutic puposes. Duodenal peptic ulceration was the commonest cause accounting gor obstruction in 19 out of the 26 patients. There was a male to female ratio of 3:2. There was a striking prepondance of patients belonging to the Nkore tribe; a native tribe in Western Uganda. Of the 14 Nkore patient; 12 had obstruction due to chronic duedenal ulceration.. In the majority of patients the obstruction was decompensated or partially compensated. Duodenal ulceration was the usual cause of gastric outlet obstruction and a significant proportion of patients came from Nkore tribe. A larger study to investigate this tribal distribution and to seek specific casual factors and associations is indicated