Manju Singh1, Amit Agrawal2, Praveen Kumar Lakhera3
BACKGROUND
Gastric outlet obstruction (GOO) also known as pyloric obstruction is not a single entity. It is the clinical & pathophysiological consequence of any disease process that produces a mechanical impediment to gastric emptying.
MATERIALS AND METHODS
37 patients attending surgical out-patient department of Pt. J. N. M. Medical College, Raipur during the period of March 2015 to September 2016 of GOO with chief complaints of projectile vomiting, visible gastric peristalsis or palpable distended stomach were included in this study. Cases of functional non-mechanical cause of GOO were excluded. Only patients of 20 years & above were included in this study. Saline load test, upper gastro-intestinal endoscopy and routine laboratory investigations done in all cases.
RESULTS
Age group of 40-59 was maximum sufferer 27%, followed by age group 60-69 years (21.9%). Male-Female ratio was 1.2:1. Antral carcinoma (75.7%) cases topped the list followed by cicatrised duodenal ulcer which was seen in 18.9% cases; only two case was due to duodenal adenoma.
CONCLUSION
This study is a clinical observational study of gastric outlet obstruction, but in vast majority of cases diagnosis can be established clinically. Males are more sufferers and antral carcinoma seems to be main causes of GOO, Proliferative lesion is common finding in UGI.
