A CLINICO PATHOLOGICAL STUDY ON GASTRIC OUTLET OBSTRUCTION AMONG PATIENTS IN SOUTHERN PART OF ODISHA

Dr KIRAN KUMAR KAR; Dr RAMANI RANJAN MUND; Dr LAXMIDHAR PADHY; Dr DHRUBA JYOTI TIU; Dr SAUMYA RANJAN JENA; Dr TUSHAR KANTA RATH

Volume : VII, Issue : XI, November - 2018

A CLINICO PATHOLOGICAL STUDY ON GASTRIC OUTLET OBSTRUCTION AMONG PATIENTS IN SOUTHERN PART OF ODISHA

Dr Kiran Kumar Kar, Dr Ramani Ranjan Mund, Dr Laxmidhar Padhy, Dr Dhruba Jyoti Tiu, Dr Saumya Ranjan Jena, Dr Tushar Kanta Rath

Abstract :

INTRODUCTION:– Gastric outlet obstruction is clinical and pathological consequence of any disease process that produce a mechanical impediment to gastric emptying. The process may be due to intrinsic or extrinsic factors. Term pyloric stenosis though commonly used term to describe the condition but is obscure as point of obstruction is very rarely at pylorus. With increased awareness of the disease, change in dietary habits and availability of drugs like H2 receptor blockers and proton pump inhibitors the incidence of peptic ulcer and gastric outlet obstruction is decreasing.METHODS:– A prospective study is conducted in Department of surgery, M.K.C.G Medical College and Hospital, Brahampur for a time period from August 2016 – july 2018.OBSERVATION:– Most cases of GOO present in the 5^th decade of life followed by 6^th decade. Both malignant and benign etiologies were high in the age group. Out of 60 cases studied 42 cases are males and 18 cases are females with male to female ratio approximately 3:1. Vomiting and epigastric pain are the most common symptoms in the study. Vomiting is spontaneous, projectile in nature, non bilious among cases of cicatrizing ulcer and Ca stomach. Visible gastric peristalisis is seen in 38 cses accounting to 64% of total study population. Dehydration is seen in 55% of cases. Anemia is found in 52% cases. Succession splash is heard in only 35% cases. A palpable mass is palpated in 25% cases. Truncal vagotomy and gastrojejunostomy is done in 21 cases of all duodenal ulcer cases. Distal gastrectomy with billroth–II reconstruction is done in 14 cases of carcinoma stomach. Rest cases of carcinoma stomach is managed by palliative operations. CONCLUSION:– The present study is an insight into the presentation of GOO and it’s etiology. Commonest cause of GOO in adults is carcinoma stomach followed by cicatrizing duodenal ulcer. GOO is common in males in 5^th decade.