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 Medicine, MGM Medical College and LSK Hospital, Kishanganj, Bihar. The total 50 cases of the gastric outlet obstruction referred to our hospital were enrolled in the present study. The study was conducted from January, 2019 to October, 2019.Gastric Outlet Obstruction is the commonest disease with significant morbidity and mortality. Patients with gastric outletObstruction 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.
Awanish Kumar, Gyan Bhushan Raman, Ashis Kumar Saha, Mohabbat Pal Singh. Clinical factors responsible for gastric outlet obstruction in patients at a tertiary care centre from Bihar region. International Journal of Medical and Health Research, Volume 7, Issue 3, 2021, Pages 43-46