a common belief is that alkali ingestion causes severe esophageal damage and limited gastric injury due to the buffering action of acid. gastric injury has been observed in patients who ingested alkali. gastric outlet obstruction (goo) secondary to caustic ingestion occurs due to fibrosis after resolution of the acute injury and inflammation, most commonly 6 to 12 weeks after initial ingestion....

the esophagogastric junction (gastric inlet obstruction; GIO) or antrum (gastric outlet obstruction; GOO) are unresectable and show local recurrence. Patients with GIO or GOO may present with swallowing difficulty or intractable vomiting, and/or the inability to eat, conditions which lead to a progressive deterioration in their quality of life. The consequences are weight loss and dehydration, ...

Gastric Outlet Obstruction (GOO) due to impaction of a gallstone in the duodenum after migration through a bilioduodenal fistula is known as Bouveret's syndrome. Its clinical symptoms are entirely vague and nonspecific. Because of its rarity, insidiousness and unpredictable symptomatology, Bouveret's syndrome is never thought of in the differential diagnosis as aetiology of gastric outlet obstr...

Patients with advanced-stage pancreatic cancer are typically burdened by many symptoms that impair functioning and worsen quality of life. We report an exceptional case of a 73-year-old woman with T4N1M0 adenocarcinoma of the uncinate process of the pancreas who developed significant gastric outlet obstruction - an uncommon yet potentially life-threatening complication of disease progression. S...

CASE REPORT A 71-year-old lady presented with acute cholecystitis which settled with conservative treatment. She was readmitted four months later with another attack of acute cholecystitis. Three days after admission she began to vomit repeatedly. She had a positive succussion splash consistent with a diagnosis of gastric outlet obstruction. She was treated initially with nasogastric aspiration...

Gastroparesis is a condition of abnormal gastric motility characterised by delayed gastric emptying in the absence of mechanical outlet obstruction. It is seen commonly in people with diabetes but is idiopathic in a third of patients. Symptoms include nausea and vomiting, post-prandial fullness and early satiety, and abdominal bloating and discomfort. Investigations fall into three categories: ...

Gastric necrosis due to gastric outlet obstruction is a very rare condition, but it might be fatal if missed or if diagnosis is delayed. Our patient was a 73-year-old male complaining of abdominal pain, distension and dyspnea for 1 day. In plain radiography and computed tomography, a markedly distended stomach and decreased enhancement at the gastric wall were noted. He underwent explo-laparoto...

Gastric outlet obstruction caused by duodenal impaction of a large gallstone migrated through a cholecystoduodenal fistula has been referred to as Bouveret's syndrome. We present a case of gallstone-induced duodenal obstruction in an elderly female patient, diagnosed on a 64-slice MDCT scanner. One-stage surgery, that is, stone removal and cholecystectomy, was performed resulting in relief of o...