+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

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.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 005505623

Download citation: RISBibTeXText

PMID: 6732492

DOI: 10.1001/archsurg.1984.01390190071016

Related references

Duodenal stenting followed by systemic chemotherapy for patients with pancreatic cancer and gastric outlet obstruction. Pancreatology 16(6): 1085-1091, 2016

Gastric fluid detected by sonography in fasting patients: relation to duodenal ulcer disease and gastric-outlet obstruction. Ajr. American Journal of Roentgenology 153(4): 731-733, 1989

First reported case of intentional use of a duodenal stent to treat gastric outlet obstruction prior to pancreaticoduodenectomy in a patient with pancreatic cancer. Digestive Diseases and Sciences 59(2): 489-492, 2014

Antro-duodenal tuberculosis causing gastric outlet obstruction--a rare presentation of a protean disease. Romanian Journal of Gastroenterology 11(2): 149-152, 2002

Survival and clinical outcome after endoscopic duodenal stent placement for malignant gastric outlet obstruction: comparison of pancreatic cancer and nonpancreatic cancer. Gastrointestinal Endoscopy 82(3): 460-8.E2, 2015

Development of a duodenal gallstone ileus with gastric outlet obstruction in a patient with a huge duodenal diverticulum. Revista Espanola de Enfermedades Digestivas 106(3): 233-235, 2014

Highly selective vagotomy with duodenal dilatation in patients with duodenal ulceration and gastric outlet obstruction. British Journal of Surgery 77(12): 1365-1366, 1990

An unusual cause of gastric outlet obstruction. Diagnosis: a duodenal mass intussuscepting into the jejunum causing obstruction--dilated duodenum. Gut 55(7): 932 977, 2006

Gastric acid secretion in patients with duodenal ulcer and benign gastric outlet obstruction. African Journal of Medicine and Medical Sciences 5(1): 49-53, 1976

Haemorrhage into a duodenal cyst with ectopic gastric epithelium, a rare cause of gastric outlet obstruction in an adult. Annales Chirurgiae et Gynaecologiae 86(1): 76-78, 1997

Wallflex duodenal stenting for gastric outlet obstruction caused by inoperable advanced gastric cancer. Gan to Kagaku Ryoho. Cancer and ChemoTherapy 38(12): 2134-2136, 2011

The effect of nifedipine on gastric acid secretion and duodenal ulcers complicated with gastric outlet obstruction. Gastroenterology 90(5 Part 2): 1681, 1986

Utility of the WallFlexTM duodenal stent for unresectable advanced gastric cancer related to gastric outlet obstruction. Gan to Kagaku Ryoho. Cancer and ChemoTherapy 39(12): 1855-1856, 2012

A Case of Inoperable Advanced Gastric Cancer with Gastric Outlet Obstruction in Which Oral Intake Could Be Prolonged by Duodenal Stenting. Gan to Kagaku Ryoho. Cancer and ChemoTherapy 42(12): 1686-1688, 2015

Gastric outlet obstruction from duodenal lipoma in an adult. Nigerian Journal of Surgery 19(2): 79-81, 2013