Obstructing Gastroduodenal Ulcer

Kozoll, Donald D.; Meyer, Karl

doi:10.1001/archsurg.1964.01320030081014

Cited by 23 publications

(6 citation statements)

References 4 publications

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“…GOO was reported more in low socio-economic status population in present study similar to a study in North Eastern Ethiopia. 4 In present study, 62.5% of patients were smokers and 47.5% of them had a history of alcohol consumption which is close to another study by Kozoll et al 20 Most common symptom was non bilious vomiting seen in 100% of the patients which is similar to other studies (Table 6). [2][3][4]11,21,22 Weight loss was noted in 59.5% of patients in series of Kozoll DD et al, and 32% in series of Dworken HJ et al, suggesting weight loss to be significant in patients with pyloric obstruction.…”

Section: Discussionsupporting

confidence: 90%

A clinical study of gastric outlet obstruction

Ashwin¹,

Visruja²

2018

Int Surg J

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Background: Gastric outlet obstruction (GOO) is a diagnostic and therapeutic challenge in developing countries to a Surgeon. Gastric outlet obstruction, a clinical condition impeding emptying of stomach mechanically, can be due to varied etiology. This study was taken up to know the etiological factors and management.Methods: This was a descriptive prospective study done at Madurai Medical College for a period of 2 years from September 2009 to August 2011. A set of inclusion and exclusion criteria were defined and followed. Upper gastro-intestinal endoscopy (OGD) was done in all cases while Barium meal study was done in few cases to make the diagnosis. Relevant operative procedure was done, and patients were managed post operatively.Results: Cicatrised Duodenal ulcer (DU) was the commonest cause followed by Carcinoma Pyloric antrum (Ca PA). Majority of the patients were males (67.5%) with male to female ratio of 2.07:1. Vomiting was one of the major presenting symptoms in all the patients.Conclusions: Cicatrised DU was the commonest cause for GOO in present study. Present study highlights the increasing incidence of Ca PA. This could be due to better management of DU at an early stage.

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Section: Discussionsupporting

confidence: 90%

A clinical study of gastric outlet obstruction

Ashwin¹,

Visruja²

2018

Int Surg J

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“…A major cause of benign gastroduodenal obstruction is peptic ulcer disease including gastric and duodenal ulcer. 10 Although surgery was considered as the main therapeutic intervention in such patients, the long term effects of surgery specially the effects of vagotomy, which is usually a part of the procedure, on the quality of life has been a major concern. Introduction of EBD was a momentum in more physiological management of this complication.…”

Section: Discussionmentioning

confidence: 99%

Long-term Results of Endoscopic Balloon Dilatation for Gastric Outlet Obstruction Caused by Peptic Ulcer Disease

Zare

Raeisi

Honarvar

et al. 2019

Middle East J Dig Dis

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BACKGROUND Gastric outlet obstructions (GOO) is a disabling complication of peptic ulcer disease (PUD). The introduction of endoscopic through the scope balloon dilatation (EBD) has eased the management but there are few reports on the long term results of this modality of treatment on patients’ symptoms. METHODS Over a period of 4 years from January 2012 to December 2015 in two major referral hospitals affiliated to Shiraz university, medical endoscopy reports were reviewed retrospectively to identify those who received EBD for the treatment of GOO due to PUD .All of these patients were recalled and their current status were evaluated. RESULTS 22 consecutive patients with symptomatic GOO secondary to benign stricture underwent endoscopic balloon dilatation by a single operator. Of them, 14 had balloon dilatation twice and 6 had ballooning three times. The interval between the first referral and the last follow-up was 25.2 ± 10.3 (min: 4.8 max:43.4) months. The averages of maximum balloon size were 14.4 ± 5 mm in the first session, 14.3 ± 3.1mm in the second session, and 16 ± 2.4 mm in the third session. 73% of the patients had a significant improvement in clinical symptom with two sessions of EBD and did not require repeat dilatation. CONCLUSION EBD is a safe and efficient method in the management of GOO with good long term results.

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“…The series of Kozoll DD and Meyer KA also showed the same pattern with the non-skilled day laborer group listed most frequently with obstruction. 9 The higher incidence of use of alcohol and tobacco is seen in these patients and are significant risk factors for the disease process.…”

Section: Discussionmentioning

confidence: 99%

Gastric outlet obstruction: clinical presentations and its surgical management

2018

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Background: Gastric outlet obstruction (GOO) mechanically impedes gastric emptying, normal emptying of the stomach. It is a diagnostic and therapeutic challenge for general surgeons in their daily practice. This paper highlights the etiology, clinical presentation and treatment outcome of GOO.Methods: A Prospective study was conducted on patients with GOO treated at Rajarajeswari medical college and hospital, Bangalore during September 2015 to august 2017. Data was tabulated and analyzed using descriptive statistical methodology.Results: Carcinoma stomach with antral growth and cicatrized duodenal ulcer (both 41.5%) were the most common cause of gastric outlet obstruction. Male were more affected than females (2.5:1). Most common symptom was vomiting and abdominal pain (noted among all), followed by loss of appetite (83%) and loss of weight (82.35%). 94.1% patients of Cicatrized duodenal ulcer underwent truncal vagotomy with posterior gastrojejunostomy and 5.9% underwent truncal vagotomy with antrectomy. 58.8% patients of carcinoma stomach, underwent distal gastrectomy with ante-colic Roux-en-Y gastro- jejunostomy, 12.1% patients underwent subtotal gastrectomy with ante-colic and Roux-en-Y gastro jejunostomy and 4.8% patients underwent palliative gastrojejunostomy. In corrosive antral stricture Billroth I gastrectomy was done. Patients of pancreatic malignancy underwent palliative anterior gastrojejunostomy and pseudo- pancreatic cyst was treated by cystojejunostomy. The average hospital stay was 10-14 days and an overall mortality of 5.8% for malignant patients was noted.Conclusions: Study concludes that gastric outlet obstruction is an important and a common surgical condition in tertiary hospital. Malignancy and benign cicatrized duodenal ulcer being the most common cause.

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Obstructing Gastroduodenal Ulcer

Cited by 23 publications

References 4 publications

A clinical study of gastric outlet obstruction

A clinical study of gastric outlet obstruction

Long-term Results of Endoscopic Balloon Dilatation for Gastric Outlet Obstruction Caused by Peptic Ulcer Disease

Gastric outlet obstruction: clinical presentations and its surgical management

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