A CLINICAL STUDY OF GASTRIC OUTLET OBSTRUCTION IN ADULTS

Abstract

Introduction : Gastric Outlet Obstruction implies complete or incomplete obstruction of the distal stomach, pylorus or proximal duodenum[1]. This may occur as an obstructing mass lesion, external compression or as a result of obstruction from acute edema, chronic scarring and brosis or a combination of both[1,2].Gastric outlet obstruction is not a single entity; it is the clinical and pathophysiological consequence of any disease process that produces a mechanical impediment to gastric emptying[3]. To Aims Of The Study : determine the relative incidence of benign and malignant gastric outlet obstruction.To study the modes of presentation of gastric outlet obstruction.To study the outcome of management of gastric outlet obstruction. The pat Materials And Methods : ients for this study have been selected from Kurnool medical college, KURNOOL from September 2020 to April 2022. In total, 50 in-patients of gastric outlet obstruction have been studied. An elaborate study of these cases with regard to the history, clinical features, routine and special investigations, pre-operative treatment, operative ndings, postoperative management and complications in post-operative period is done. Of the 50 cases of gastric Results : outlet obstruction 26 had carcinoma antrum, 23 had cicatrized duodenal ulcer and 1 had gastric outlet obstruction secondary to corrosive ingestion. The commonest causes of gastric outlet obstruction in adults are Conclusion : carcinoma stomach with antral growth producing gastric outlet obstruction (52%) and cicatrised duodenal ulcer (46%). Number of cases with cicatrised duodenal ulcer as the chief etiological factor for gastric outlet obstruction is diminishing and the number of cases of antral carcinoma of stomach as the cause of gastric outlet obstruction is increasing.