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Gastric outlet and duodenal obstruction from inflammatory pancreatic disease



Gastric outlet and duodenal obstruction from inflammatory pancreatic disease



Archives of Surgery 119(7): 833-835



During a 10 yr period, 16 patients with gastric outlet and duodenal obstruction due to inflammatory pancreatic diseases were seen. The cause of obstruction was chronic pancreatitis in 10 patients, pseudocysts with associated pancreatitis in 5 patients and pancreatic abscess in 1 patient. All patients had nausea and vomiting, 14 had abdominal pain and 5 had weight loss greater than 4.5 kg. Diagnosis was made by plain abdominal film in 1 case, upper gastrointestinal tract roentgenographic series in 15 cases and endoscopy in 11 cases. Mobilization of the duodenum relieved the obstruction 2 patients. Fixed obstruction remained in 14 patients. This was relieved by gastrojejunostomy in 12 patients. Gastrojejunostomy was combined with drainage of a pseudocyst in 3 patients, a dilated pancreatic duct in 3 patients and a dilated common bile duct in 4 patients. Obstruction was relieved by pseudocyst drainage in 2 patients. Associated common duct and pancreatic duct obstruction must be identified preoperatively.

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Accession: 005505623

Download citation: RISBibTeXText

PMID: 6732492

DOI: 10.1001/archsurg.1984.01390190071016


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