Gastric outlet obstruction: A red flag, potentially manageable

Koop, Andree; Palmer, William C.; Stancampiano, Fernando

doi:10.3949/ccjm.86a.18035

Cited by 39 publications

(55 citation statements)

References 52 publications

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“…6 The usual pathophysiology of gastric outlet obstruction is an intrinsic or extrinsic obstruction of the pyloric channel or duodenum. 7 The mechanism that leads to obstruction depends on the underlying etiology. Intrinsic obstruction may result from acute inflammation, scarring, or chronic fibrosis of the pyloric channel or duodenal bulb, as can occur with chronic pancreatitis.…”

Section: Discussionmentioning

confidence: 99%

“…11 In adolescents and adults, the etiology of HPS is unknown and is thought to be a manifestation of the infantile form that is triggered by a specific cause such as inflammation, infection, or edema. 7,12 Other etiologies include benign tumors such as adenomas or lipomas. Bezoars, which are solid masses of indigestible material that accumulate at the gastric outlet, may cause obstruction.…”

Section: Discussionmentioning

confidence: 99%

“…Peptic ulcer disease used to account for over 70% of benign cases of gastric outlet obstruction, but with the use of proton pump inhibitors and other acid-suppressing medications, it now accounts for less than 10% of cases. 5,7 Bouveret syndrome, a rare condition that is characterized by a proximal migration of an impacted gallstone into the duodenal bulb or pylorus, 8,9 has been reported as a cause of gastric outlet obstruction. Bouveret syndrome typically affects elderly patients, which increases the risk of a misdiagnosis in younger patients.…”

Section: Benign Etiologiesmentioning

confidence: 99%

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Gastric Outlet Obstruction Secondary to Pyloric Thickening in an Adolescent Male

Liddick

2020

Journal of Diagnostic Medical Sonography

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Gastric outlet obstruction secondary to pyloric thickening in adolescents is an extremely rare finding. The condition is caused by a number of benign or malignant etiologies that cause an impediment to gastric emptying. Common and uncommon etiologies as well as the pathogenesis of gastric outlet obstruction are discussed. A case study of gastric outlet obstruction in a 14-year-old male is presented, and the crucial role of sonography in the diagnostic process of his condition is considered.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Benign Etiologiesmentioning

confidence: 99%

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Gastric Outlet Obstruction Secondary to Pyloric Thickening in an Adolescent Male

Liddick

2020

Journal of Diagnostic Medical Sonography

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“…obstrucción por enfermedad ulcerosa se aprecia una mejoría de los síntomas a las 48-72 horas, según las series revisadas, debido a la disminución del edema y espasmo gracias a los IBP y el uso de sondaje nasogástrico 7 . En cambio, en pacientes con síntomas de causa maligna debemos recurrir a métodos endoscópicos, (dilatación con balón o inserción de stents) cuando la única opción es paliativa y a la cirugía cuando se requieren resultados eficaces a largo plazo 2 .…”

Section: Caso Clínicounclassified

Stomach dilatation due pyloric stenosis in a patient with previous gastric surgery

Borrero¹,

Aviña²,

Díaz³

et al. 2021

RAPDOnline

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Resumen Entre las complicaciones tardías de la cirugía gástrica podemos encontrar un amplio abanico de patologías, entre las que destaca el síndrome de obstrucción de la salida gástrica (SOSG). En los últimos 40-50 años las causas que lo producen han pasado de aquellas relacionadas con patología ulcerosa a las relacionadas con tumores malignos. Presentamos el caso de un paciente que acudió a urgencias por un cuadro de dolor abdominal asociado a un cuadro hiperemético, con antecedentes de cirugía gástrica unos 30 años antes, que presentaba un SOSG tratado mediante la colocación de un stent autoexpansible. Se revisa el diagnóstico diferencial y las diferentes opciones terapéuticas.

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“…GASTRO-INTESTINAL obstruction in pediatric age group is crucial; especially in neonates and infants. Pyloric and duodenal obstruction has special concern in this age group [1,2] . Commonly; neonates, infants and young children presented with vomiting have immediate diagnosis of Congenital Hypertrophic Pyloric Stenosis (CHPS) [3,4] .…”

Section: Introductionmentioning

confidence: 99%

Uncommon Causes of Pyloric and Duodenal Obstruction in Pediatric Population: Radiological and Surgical Correlation

Mourad¹,

Ahmad²,

Batikhe

et al. 2020

The Medical Journal of Cairo University

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Background: Duodenal and pyloric obstruction in neonates and young children have diverse causes such as atresia, volvulus, and foreign body or may be extra-luminal obstruction. Aim of Study: To assess causes of pyloric and duodenal obstruction in pediatric population (other than CHPS) and determine the causes of obstruction radiologically and compare them with surgical data. Patients and Methods: Our study included 22 patients (12 boys and 10 girls), age range from 1 day to 6 years. This study was done on cases of pyloric and duodenal obstruction in newborns, infants and young children less than 6 years in the period from 2017 through 2019. Cases of Congenital Hypertrophic Pyloric Stenosis (CHPS) were excluded from the study. The clinical, radiological data were gathered and compared to each other. Results: The spectrum of causes of pyloric and duodenal obstruction was as follow: 4 cases of pyloric atresia, 5 cases with duodenal atresia, 3 cases with duodenal stenosis by incomplete web, one case with annular pancreas, 4 cases with midgut volvulus, one case with duodenal duplication cyst, 3 cases with foreign body obstruction and one case with trichobezoar. All cases were treated surgically to alleviate the obstruction. The radiological data were well correlated with surgical findings. Conclusion: Pyloric and duodenal obstruction in pediatric population has different causes. Radiological imaging could determine the cause of obstruction with good correlation with surgery.

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Gastric outlet obstruction: A red flag, potentially manageable

Cited by 39 publications

References 52 publications

Gastric Outlet Obstruction Secondary to Pyloric Thickening in an Adolescent Male

Gastric Outlet Obstruction Secondary to Pyloric Thickening in an Adolescent Male

Stomach dilatation due pyloric stenosis in a patient with previous gastric surgery

Uncommon Causes of Pyloric and Duodenal Obstruction in Pediatric Population: Radiological and Surgical Correlation

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