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Gastric Outlet Obstruction

 Syn. Gastric Outlet Obstructions , GOO

Signs & Symptoms

 Epigastric pain
Ref: Uptodate [ Gastric outlet obstruction in adults]
Nausea
Ref: Uptodate [ Gastric outlet obstruction in adults] Harrison [ 2227] Cecil [ 411]
Increase of postprandial abdominal pain
Ref: Harrison [ 2227]
Recurrent vomiting
Ref: Uptodate [ Gastric outlet obstruction in adults]

Physical Examination

 Succussion splash
Note: with the stethoscope rested over the upper abdomen the patient is rocked back and forth at the hips, Auscultation of a "splash" is reflective of retained gastric material and, if noted more than three hours after a meal, is suggestive of GOO
Ref: Uptodate [ Gastric outlet obstruction in adults]
Presence of chronic dehydration
Ref: Uptodate [ Gastric outlet obstruction in adults] Medscape [ https://emedicine.medscape.com/article/190621-clinical#b2]
Malnutrition
Ref: Medscape [ https://emedicine.medscape.com/article/190621-clinical#b2]

Lab / Serology

 Elevated CEA
Note: in patients with pancreatic cancer
Ref: Uptodate [ Gastric outlet obstruction in adults]
Loss of Sodium
Note: due to Prolonged vomiting, due to recurrent vomiting
Ref: Medscape [ https://emedicine.medscape.com/article/190621-clinical#b2]
Increase of bicarbonate in the plasma
Note: due to Prolonged vomiting
Ref: Medscape [ https://emedicine.medscape.com/article/190621-clinical#b2]

Imagin Study

Complication

Risk Factors

Cause

 Pancreatic adenocarcinoma
Ref: Uptodate [ Gastric outlet obstruction in adults]
Distal gastric cancer
Ref: Uptodate [ Gastric outlet obstruction in adults]

Other