Metastatic Gastric Carcinoma with Gastric Outlet Obstruction Extirpated by Palliative Gastrojejunostomy

Abstract

Gastric cancer, third most common cause of death due to cancer and the fifth most common cancer across the world, present with symp-toms like early satiety, nausea, vomiting, abdominal pain and loss of weight. The common age of presentation lies between 50 to 70 years. Here, we discuss about a case of a 50years old patient presented with chief complaints of pain in the epigastric region, insidious in onset, gradually progressive, burning in nature and associated with early satiety and bloodstained vomiting. Upper Gastrointestinal Endoscopy (UGIE), Endoscopic biopsy and Contrast Enhanced Computed Tomography (CECT) were in favor of Metastatic Gastric Adenocarcinoma obstructing Gastric Outlet. Considering Gastric outlet obstruction, the patient underwent Palliative Gastrojejunostomy and Postoperative Radio chemotherapy. This case emphasizes the significance about considering palliative surgical care in improving the patient compliance and quality of life.