A CLINICAL STUDY OF GASTRIC OUTLET OBSTRUCTION IN ADULTS

Aims and Objectives:1. To determine the relative incidence of benign and malignant gastric outlet obstruction,2. To study the modes of presentation of gastric outlet obstruction,3. To study the outcome of management of gastric outlet obstruction.Methods:The patients for this study have been selected from Nellore Medical College, NELLORE from April 2022 to May 2023. In total, 50 in-patients of gastric outlet obstruction have been studied. Inclusion Criteria:1. Patients presenting with gastric outlet obstruction who are treated on inpatient basis,2. Patients willing for investigations and treatment. Exclusion Criteria:1. Patients aged 20 years and below,2. Pregnant females,3. Patient with recent history of any abdominal surgeries. Observations: Out Of 50 cases,1. Gastric outlet obstruction secondary to carcinoma pyloric region – 26, Gastric outlet obstruction secondary to cicatrized duodenal ulcer – 23, Gastric outlet obstruction secondary to corrosive ingestion – 1. All the patients were subjected to a standard pre-operative treatment, which included stomach wash twice a day for three days prior to surgery. Conclusion: The commonest causes of gastric outlet obstruction in adults are carcinoma stomach with antral growth producing gastric outlet obstruction (52%) and cicatrised duodenal ulcer (46%), In the vast majority of cases, the diagnosis can be established clinically, Upper Gastro intestinal endoscopy should be mandatory in all suspected cases of gastric outlet obstruction. It can diagnose the cause of obstruction very effectively than any other investigative modality, Number of cases with cicatrised duodenal ulcer as the chief etiological factor for gastric outlet obstruction is diminishing and the number of cases of antral carcinoma of stomach as the cause of gastric outlet obstruction is increasing, Effective treatment in carcinoma stomach depends on early diagnosis