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Gastric outlet obstruction.
Gastrointest Endosc Clin N Am 1996; 6(3):585-603GE

Abstract

Acquired gastric outlet obstruction is more commonly owing to malignancy than ulcer disease. Endoscopy is the preferred method for diagnosis. Surgical palliation for malignant disease has poor results and high rates of morbidity and mortality. Initial experiences with endoscopic palliation with expandable metallic endoprostheses appear promising. Peptic ulcer-induced gastric outlet obstruction can be treated safely with endoscopic balloon dilation. About 65% of patients have sustained symptom relief, but many require more than one dilation session. Outcomes may be improved with effective ulcer therapy with acid reduction and eradication of H. pylori. Surgery is associated with significant morbidity and mortality and should be reserved for endoscopic treatment failures.

Authors+Show Affiliations

Division of Gastroenterology, University of Utah School of Medicine and Health Sciences Center, Salt Lake City, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

8803569

Citation

Khullar, S K., and J A. DiSario. "Gastric Outlet Obstruction." Gastrointestinal Endoscopy Clinics of North America, vol. 6, no. 3, 1996, pp. 585-603.
Khullar SK, DiSario JA. Gastric outlet obstruction. Gastrointest Endosc Clin N Am. 1996;6(3):585-603.
Khullar, S. K., & DiSario, J. A. (1996). Gastric outlet obstruction. Gastrointestinal Endoscopy Clinics of North America, 6(3), pp. 585-603.
Khullar SK, DiSario JA. Gastric Outlet Obstruction. Gastrointest Endosc Clin N Am. 1996;6(3):585-603. PubMed PMID: 8803569.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gastric outlet obstruction. AU - Khullar,S K, AU - DiSario,J A, PY - 1996/7/1/pubmed PY - 1996/7/1/medline PY - 1996/7/1/entrez SP - 585 EP - 603 JF - Gastrointestinal endoscopy clinics of North America JO - Gastrointest. Endosc. Clin. N. Am. VL - 6 IS - 3 N2 - Acquired gastric outlet obstruction is more commonly owing to malignancy than ulcer disease. Endoscopy is the preferred method for diagnosis. Surgical palliation for malignant disease has poor results and high rates of morbidity and mortality. Initial experiences with endoscopic palliation with expandable metallic endoprostheses appear promising. Peptic ulcer-induced gastric outlet obstruction can be treated safely with endoscopic balloon dilation. About 65% of patients have sustained symptom relief, but many require more than one dilation session. Outcomes may be improved with effective ulcer therapy with acid reduction and eradication of H. pylori. Surgery is associated with significant morbidity and mortality and should be reserved for endoscopic treatment failures. SN - 1052-5157 UR - https://www.unboundmedicine.com/medline/citation/8803569/Gastric_outlet_obstruction_ L2 - https://medlineplus.gov/pepticulcer.html DB - PRIME DP - Unbound Medicine ER -