Prakash, N (2020) A Clinico Pathological study of Gastric Outlet Obstruction and Its Surgical Outcome in Tirunelveli Medical College: A Prospective study. Masters thesis, Tirunelveli Medical College, Tirunelveli.
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Abstract
BACKGROUND: Gastric outlet obstruction defined as intramural or extramural pathology causing complete or partial obstruction of distal stomach, pylorus. In recent days gastric outlet obstruction is caused by malignancy either by gastric carcinoma or peripancreatic malignancies. Gastric outlet obstruction due to benign etiology is in decreasing trend. This study conducted to estimate the incidences of etiological factors and its surgical outcome. METHODS: This study conducted in Tirunelveli Medical College from January 2018 to June 2019. Data was tabulated and analysed using descriptive statistical methodology. RESULTS: Carcinoma stomach with antral growth (87.3%) is the most common cause of gastric outlet obstruction. Symptoms of malignant GOO are abdominal pain (90%), followed by loss of weight (81%) and vomiting (78%). VGP (76%) and succussion splash (78%) was the commonest sign of gastric outlet obstruction. Endoscopically Borrmann`s type I was commonly noted in gastric carcinoma. All patients of Cicatrized duodenal ulcer underwent truncal vagotomy with posterior gastrojejunostomy. Patients of carcinoma stomach underwent palliative anterior gastrojejunostomy with or without jejunojejunostomy (31%), 20% of patients underwent subtotal gastrectomy with gastro jejunostomy and 30% of patients underwent palliative subtotal gastrectomy. Patients of pancreatic malignancy underwent triple bypass procedure and pseudo- pancreatic cyst was treated by cystogastrostomy. In this study overall mortality of 6% for malignant patients was noted. CONCLUSION: This study concluded that malignant aetiology of GOO is increased and benign aetiology of GOO is decreasing in trend. Alarm signs of recent weight loss, dysphagia, and evidence of GI bleeding, anaemia are should undergo upper endoscopy screening for early detection of gastric carcinoma.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711365 |
| Uncontrolled Keywords: | Gastric outlet obstruction, GOO, Gastric carcinoma, Chronic duodenal ulcer, Peripancreatic malignancy, Malignant GOO. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 11 Feb 2021 02:22 |
| Last Modified: | 11 Feb 2021 02:22 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14043 |
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