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Gastric outflow obstruction

MedGen UID:
102434
•Concept ID:
C0162651
•
Disease or Syndrome
Synonyms: Gastric Outlet Obstruction; Gastric Outlet Obstructions; Obstruction, Gastric Outlet; Obstructions, Gastric Outlet; Outlet Obstruction, Gastric; Outlet Obstructions, Gastric
SNOMED CT: Gastric outflow obstruction (244815007)

Definition

The hindering of output from the STOMACH into the SMALL INTESTINE. This obstruction may be of mechanical or functional origin such as EDEMA from PEPTIC ULCER; NEOPLASMS; FOREIGN BODIES; or AGING. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVGastric outflow obstruction

Professional guidelines

PubMed

Diabetic gastroparesis: clinical features, diagnosis and management.
Ahmed MSO, Forde H, Smith D
Ir J Med Sci 2023 Aug;192(4):1687-1694. Epub 2022 Oct 20 doi: 10.1007/s11845-022-03191-8. PMID: 36266392
The successful medical management of gastric outflow obstruction associated with the use of non-steroidal anti-inflammatory drugs in the elderly.
Geraghty RJ, Black D, Bruce SA
Postgrad Med J 1991 Nov;67(793):1004-7. doi: 10.1136/pgmj.67.793.1004. PMID: 1775405Free PMC Article

Recent clinical studies

Etiology

Superior mesenteric artery syndrome - A rare presentation and challenge in spinal cord injury rehabilitation: A case report and literature review.
Desai MH, Gall A, Khoo M
J Spinal Cord Med 2015 Jul;38(4):544-7. Epub 2014 Jun 29 doi: 10.1179/2045772314Y.0000000241. PMID: 24976254Free PMC Article
Palliative enteric bypass for malignant gastric outflow obstruction after pancreaticoduodenectomy in early recurrent pancreatic cancer.
Oida T, Mimatsu K, Kano H, Kawasaki A, Kuboi Y, Fukino N, Kida K, Aramaki O, Amano S
Hepatogastroenterology 2011 Jul-Aug;58(109):1360-7. doi: 10.5754/hge09238. PMID: 21937408
Prospective randomized trial of laparoscopic gastrojejunostomy versus duodenal stenting for malignant gastric outflow obstruction.
Mehta S, Hindmarsh A, Cheong E, Cockburn J, Saada J, Tighe R, Lewis MP, Rhodes M
Surg Endosc 2006 Feb;20(2):239-42. Epub 2005 Dec 9 doi: 10.1007/s00464-005-0130-9. PMID: 16362479
Endo-laparoscopic approach in the management of obstructive jaundice and malignant gastric outflow obstruction.
Tang CN, Siu WT, Ha JP, Li MK
Hepatogastroenterology 2005 Jan-Feb;52(61):128-34. PMID: 15783012
The objectives of palliative surgery in pancreas cancer: a retrospective study of 73 cases.
Eastman MC, Kune GA
Aust N Z J Surg 1980 Oct;50(5):462-4. doi: 10.1111/j.1445-2197.1980.tb04169.x. PMID: 6160844

Diagnosis

Diabetic gastroparesis: clinical features, diagnosis and management.
Ahmed MSO, Forde H, Smith D
Ir J Med Sci 2023 Aug;192(4):1687-1694. Epub 2022 Oct 20 doi: 10.1007/s11845-022-03191-8. PMID: 36266392
Superior mesenteric artery syndrome - A rare presentation and challenge in spinal cord injury rehabilitation: A case report and literature review.
Desai MH, Gall A, Khoo M
J Spinal Cord Med 2015 Jul;38(4):544-7. Epub 2014 Jun 29 doi: 10.1179/2045772314Y.0000000241. PMID: 24976254Free PMC Article
Transmural eosinophilic gastritis with gastric outlet obstruction: case report and review of the literature.
Holroyd DJ, Banerjee S, Chaudhary KS, Reshamwalla S, Vijay V, Ward MW
Ann R Coll Surg Engl 2010 May;92(4):W18-20. doi: 10.1308/147870810X12659688851915. PMID: 20501003Free PMC Article
Endo-laparoscopic approach in the management of obstructive jaundice and malignant gastric outflow obstruction.
Tang CN, Siu WT, Ha JP, Li MK
Hepatogastroenterology 2005 Jan-Feb;52(61):128-34. PMID: 15783012
The successful medical management of gastric outflow obstruction associated with the use of non-steroidal anti-inflammatory drugs in the elderly.
Geraghty RJ, Black D, Bruce SA
Postgrad Med J 1991 Nov;67(793):1004-7. doi: 10.1136/pgmj.67.793.1004. PMID: 1775405Free PMC Article

Therapy

Palliative enteric bypass for malignant gastric outflow obstruction after pancreaticoduodenectomy in early recurrent pancreatic cancer.
Oida T, Mimatsu K, Kano H, Kawasaki A, Kuboi Y, Fukino N, Kida K, Aramaki O, Amano S
Hepatogastroenterology 2011 Jul-Aug;58(109):1360-7. doi: 10.5754/hge09238. PMID: 21937408
Electronic clinical challenges and images in GI. Image 3: An unusual case of gastric outflow obstruction.
Bosanko NC, Theron B, Singh P
Gastroenterology 2008 Nov;135(5):e5-6. Epub 2008 Oct 9 doi: 10.1053/j.gastro.2008.10.006. PMID: 18848830
Prospective randomized trial of laparoscopic gastrojejunostomy versus duodenal stenting for malignant gastric outflow obstruction.
Mehta S, Hindmarsh A, Cheong E, Cockburn J, Saada J, Tighe R, Lewis MP, Rhodes M
Surg Endosc 2006 Feb;20(2):239-42. Epub 2005 Dec 9 doi: 10.1007/s00464-005-0130-9. PMID: 16362479
An unusual case of massive gastric distension with catastrophic sequelae.
Lewis S, Holbrook A, Hersch P
Acta Anaesthesiol Scand 2005 Jan;49(1):95-7. doi: 10.1111/j.1399-6576.2004.00552.x. PMID: 15675990
The successful medical management of gastric outflow obstruction associated with the use of non-steroidal anti-inflammatory drugs in the elderly.
Geraghty RJ, Black D, Bruce SA
Postgrad Med J 1991 Nov;67(793):1004-7. doi: 10.1136/pgmj.67.793.1004. PMID: 1775405Free PMC Article

Prognosis

Diabetic gastroparesis: clinical features, diagnosis and management.
Ahmed MSO, Forde H, Smith D
Ir J Med Sci 2023 Aug;192(4):1687-1694. Epub 2022 Oct 20 doi: 10.1007/s11845-022-03191-8. PMID: 36266392
Palliative enteric bypass for malignant gastric outflow obstruction after pancreaticoduodenectomy in early recurrent pancreatic cancer.
Oida T, Mimatsu K, Kano H, Kawasaki A, Kuboi Y, Fukino N, Kida K, Aramaki O, Amano S
Hepatogastroenterology 2011 Jul-Aug;58(109):1360-7. doi: 10.5754/hge09238. PMID: 21937408
Laparoscopic biliary bypass--a single centre experience.
Tang CN, Siu WT, Ha JP, Tai CK, Tsui KK, Li MK
Hepatogastroenterology 2007 Mar;54(74):503-7. PMID: 17523308
An unusual case of massive gastric distension with catastrophic sequelae.
Lewis S, Holbrook A, Hersch P
Acta Anaesthesiol Scand 2005 Jan;49(1):95-7. doi: 10.1111/j.1399-6576.2004.00552.x. PMID: 15675990
Gastric outflow obstruction caused by gall stones and leading to death by complex metabolic derangement.
Wight CO, Seed M, Yeo WW, McCulloch TA
J Clin Pathol 1997 Nov;50(11):963-5. doi: 10.1136/jcp.50.11.963. PMID: 9462252Free PMC Article

Clinical prediction guides

Prospective randomized trial of laparoscopic gastrojejunostomy versus duodenal stenting for malignant gastric outflow obstruction.
Mehta S, Hindmarsh A, Cheong E, Cockburn J, Saada J, Tighe R, Lewis MP, Rhodes M
Surg Endosc 2006 Feb;20(2):239-42. Epub 2005 Dec 9 doi: 10.1007/s00464-005-0130-9. PMID: 16362479

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