A Clinical study of variable presentations and management options of gastric outlet obstruction in a tertiary care Centre, Karimnagar

Abstract

Background: The management of gastric outlet obstruction poses diagnostic and therapeutic challenges to general surgeons practicing in resource-limited countries. The outcome of treatment of gastric outlet obstruction may be poor especially in developing countries where advanced diagnostic and therapeutic facilities are not readily available in most centers. Objective: To evaluate the variable presentations and management options of gastric outlet obstruction (GOO) in a tertiary care centre, Karimnagar. Methods: The study was a prospective follow up study; total 30 patients of Gastric outlet obstruction (GOO) have been included in this study. Patients have been selected from those attending to General Surgery Department, Chalmeda Anand Rao Institute of Medical Sciences during the period of November 2015 to November 2017. Results: Out of 30 cases studied 20 cases are males and 10 females with GOO patients. The male to female ratio was 2:1. With regards to individual etiologies carcinoma stomach male to female ratio 1.4: 1 and chronic duodenal ulcers are seen in ratio of 2.5:1. Conclusion: In present day, carcinoma stomach appears to be the most common cause of gastric outlet obstruction. Malignant GOO had poor prognosis and mostly palliation is done. It focuses on the fact that there is delayed presentation with patients of upper gastro intestinal malignancy.

Keywords

• gastric outlet obstruction
• carcinoma stomach
• duodenal ulcer
• surgical management options