Vol. 5, Issue 12 (2019)
Clinical factors responsible for gastric outlet obstruction in patients from Bihar region
Author(s): Dr. Awanish Kumar
Abstract: From the standpoint of pathology, the term pyloric stenosis is usually inaccurate at least in adult patients, since the site of obstruction is rarely situated at the pylorus itself but, is more often placed immediately proximal to the sphincter where the diagnosis of carcinoma is most probable or more distally in the duodenal bulb where the cause is almost invariably a duodenal ulcer. Hence present study was planned to evaluate the clinical factors responsible for gastric outlet obstruction in patients from Bihar region. The present study was planned in Department of Gastroenterology, Ruban Memorial Hospital, Patna, Bihar. The total 25 cases of the gastric outlet obstruction referred to our hospital were enrolled in the present study. Gastric Outlet Obstruction is the commonest disease with significant morbidity and mortality. Patients with gastric outlet obstruction due to cicatrized duodenal ulcer require truncal vagotomy with posterior gastrojejunostomy. Vagotomy is optional in view of better response with drugs for APD. Antral carcinoma cases require curative or palliative surgery depending on the stage of the disease.