Case Presentation An 89-year-old man presented to our emergency room with a 2-day history of upper abdominal pain, nausea, and vomiting that had been present for 2 days. He had a history of type 2 DM, hypertension, and dementia and was bedridden. [karger.com]

However, in the present case, no clinical features of immunodeficiency were observed and HIV status being negative. The present case presented with gastric outlet obstruction which clinically and endoscopically mimicked gastric carcinoma. [jmedscindmc.com]

CT Abdomen Pelvis upon presentation. (a) Marked distention of the stomach with fluid. (b) Pneumobilia involving left lobe of liver. (Arrow pointing). Figure 1. CT Abdomen Pelvis upon presentation. (a) Marked distention of the stomach with fluid. [tandfonline.com]

Patients with an underlying malignancy can clinically present in a variety of ways. [cancertherapyadvisor.com]

On review of literature vomiting was the most common presentation followed by GI bleeding., [3], [9] In our series vomiting and weight loss were the constant finding and none of our patients presented with GI bleed. [afrjpaedsurg.org]

• Increased Susceptibility to Infections

  susceptibility against infections with catalase-positive agents, patients fibrosis, gastric with CGD suffers frequently from Crohn-like disease, Lupus-like syndromes, pulmonary outlet syndrome and obstructive granulomas of the urinary tract. [de.glosbe.com]

• Abdominal Fullness

  Signs of incomplete obstruction include findings such as abdominal mass, visible gastric peristalsis, fullness of epigastrium and a tympanitic mass on percussion. [wikidoc.org]

The differential diagnoses of childhood gastric outlet obstruction and the possible pitfalls in the diagnostic workup are discussed. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. [onlinelibrary.wiley.com]

As part of the initial workup, exclude the possibility of functional nonmechanical causes of obstruction, such as diabetic gastroparesis. [emedicine.medscape.com]

• Pancreatic Calcification

  Pancreatic calcification and/or calcified gall stone may be revealed. Contrast studies with water soluble contrast or barium can give clues to the etiology of the underlying disease. [tropicalgastro.com]

Endoscopic treatment of malignant gastric and duodenal strictures: a prospective, multicenter study. Gastrointest Endosc. 2014 Jan;79(1):66-75. doi: 10.1016/j.gie.2013.06.032. Epub 2013 Aug 6. [clinicaltrials.gov]

Endoscopic treatment offered depended on the cause of GOO. [wjgnet.com]

Conservative treatment including PPI should be first line therapy for the gastric outlet obstruction due to peptic ulcer in children. Surgical treatment should be reserved for the patients with failed medical treatment. [nature.com]

Patients' demography, etiologies of GOO, treatment given and their outcome were analysed. Results Thirty two patients (73%) were male and 12 (27%) were female with M:F ratio of 2.7:1. [nepjol.info]

prognosis, and additional useful information HERE. [dovemed.com]

However, due to her poor prognosis and performance status she was enrolled in hospice and expired six months after her presentation. [omicsonline.org]

Endoscopic stenting is an effective, minimally invasive treatment for patients with malignant gastric outlet obstruction and poor prognosis, allowing resumption of oral intake and improving quality of life. [mdedge.com]

Other therapies include extracorporeal shock wave lithotripsy, NdYaG laser and laparoscopic removal. 3 After trichobezoar removal, prognosis is good if there is prevention of recurrence. 3 Up to 20 percent of patients have recurrent bezoars. 10 In order [elsevier.es]

PrognosisPrognosis Age H pylori reserve Duration Co morbidities Previous surgeries Previous failed Medical therapy for H.pylori Overall prognosis is good with improved surgical and medical therapy 56. [slideshare.net]

Another less common etiology is a bezoar. [sages.org]

GOO has both benign and malignant etiologies, however the history and physical exam findings are similar. [cancertherapyadvisor.com]

Objective The purpose of this study was to find the etiologies of GOO, their management options and outcome in Tribhuvan University Teaching Hospital. [nepjol.info]

The purpose of this study is to review the etiology, clinical manifestations, treatment and outcome of the patients in two tertiary referral centers. [nature.com]

Pathology Etiology Gastric outlet obstruction can be due to malignant or benign causes. [radiopaedia.org]

[…] and Demographics The epidemiology of GOO is as follows: [21] [22] The incidence of peptic ulcer disease (which is the most common benign cause of GOO) is approximately 10-19 per 100,000 individuals worldwide. [wikidoc.org]

Gastric cancer epidemiology and risk factors. J Clin Epidemiol. 2003;56(1):1-9. 2. Jeurnink SM, van Eijck CH, Steyerberg EW, et al. Stent versus gastrojejunostomy for the palliation of gastric outlet obstruction: a systematic review. [healio.com]

Epidemiology of extrapulmonary tuberculosis. A comparative analysis with pre-AIDS era. Chest 1991;99:1134-8. 7. Khan FY, AlAni A, Al-Rikabi A, Mizrakhshi A, Osman Mel-M. [jmedscindmc.com]

Epidemiology The incidence of GOO has been reported to be less than 5% in patients with PUD, which is the leading benign cause of the problem. [emedicine.medscape.com]

Epidemiology The incidence of gastric outlet obstruction is not known precisely. [tropicalgastro.com]

Gastric outlet obstruction (GOO, also known as pyloric 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. en_US dc.language.iso en [erepository.uonbi.ac.ke]

Gastric outlet obstruction (GOO) is not a single disorder; it is a group of clinical and pathophysiological consequence of many disease processes that produce a mechanical barrier to gastric emptying. [encyclopedia2.thefreedictionary.com]

Takahashi T (2003) Pathophysiological significance of neuronal nitric oxide synthase in the gastrointestinal tract. J Gastroenterol 38: 421-430. [scitechnol.com]

Pathophysiology Intrinsic or extrinsic obstruction of the pyloric channel or duodenum is the usual pathophysiology of GOO; the mechanism of obstruction depends upon the underlying etiology. [emedicine.medscape.com]

Malignant Tumours of the stomach, including adenocarcinoma (and its linitis plastica variant), lymphoma, and gastrointestinal stromal tumours src: images.slideplayer.com Pathophysiology In a peptic ulcer it is believed to be a result of edema and scarring [tipstovoid.blogspot.com]

In order to prevent closure of the gastrostomy, a Foley catheter was immediately put in place. Several hours later the patient presented with vomiting. [revistagastroenterologiamexico.org]

[…] the pyloric sphincter, which controls the flow of partially digested food out of the stomach and into the duodenum Pyloric Stenosis is the thickening of the muscle layer of the pyloric region resulting in the narrowing of the pyloric sphincter, which prevents [dovemed.com]

Early recognition of the tube migration leading to obstructive symptoms in a clinically appropriate scenario prevents further complications such as ulceration, necrosis and avoids surgical intervention. [journalmc.org]

Foley catheters are easily available and some may use it to prevent gastrostomy closure after accidentally PEG tube extraction (3). [scielo.isciii.es]

Ramia-Angel et al., 2012 64 F End colostomy Refuse operative repair None No Discharge Marsh and Hoejgaard, 2013 81 M End colostomy Laparotomy Stoma transposition No Wound infection Barber-Millet et al., 2014 69 F End colostomy Laparotomy Stoma transposition Preventive [academic.oup.com]