Cargando…

Gastric Outlet Obstruction Caused by a Duodenal Clot

Gastric outlet obstruction (GOO) is a mechanical obstruction usually located in the gastric pylorus or duodenum. After the introduction of proton pump inhibitors (PPIs) in the late 1980s, most cases of gastric outlet obstruction are now caused by malignancy and peptic ulcer disease rarely leads to o...

Descripción completa

Detalles Bibliográficos
Autores principales: Buysse, Tavia, Kotwal, Vikram
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8980256/
https://www.ncbi.nlm.nih.gov/pubmed/35399452
http://dx.doi.org/10.7759/cureus.22814
_version_ 1784681349778505728
author Buysse, Tavia
Kotwal, Vikram
author_facet Buysse, Tavia
Kotwal, Vikram
author_sort Buysse, Tavia
collection PubMed
description Gastric outlet obstruction (GOO) is a mechanical obstruction usually located in the gastric pylorus or duodenum. After the introduction of proton pump inhibitors (PPIs) in the late 1980s, most cases of gastric outlet obstruction are now caused by malignancy and peptic ulcer disease rarely leads to obstruction. We present a case of GOO caused by a large clot in the pylorus, preventing visualization of the source of bleeding. As the removal of the obstructing clot was deemed too high risk, the patient was treated with promotility agents that relieved the obstruction and allowed for the identification of the etiology of his upper gastrointestinal bleeding. Bleeding was definitively managed with embolization of the gastroduodenal artery.
format Online
Article
Text
id pubmed-8980256
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-89802562022-04-07 Gastric Outlet Obstruction Caused by a Duodenal Clot Buysse, Tavia Kotwal, Vikram Cureus Internal Medicine Gastric outlet obstruction (GOO) is a mechanical obstruction usually located in the gastric pylorus or duodenum. After the introduction of proton pump inhibitors (PPIs) in the late 1980s, most cases of gastric outlet obstruction are now caused by malignancy and peptic ulcer disease rarely leads to obstruction. We present a case of GOO caused by a large clot in the pylorus, preventing visualization of the source of bleeding. As the removal of the obstructing clot was deemed too high risk, the patient was treated with promotility agents that relieved the obstruction and allowed for the identification of the etiology of his upper gastrointestinal bleeding. Bleeding was definitively managed with embolization of the gastroduodenal artery. Cureus 2022-03-03 /pmc/articles/PMC8980256/ /pubmed/35399452 http://dx.doi.org/10.7759/cureus.22814 Text en Copyright © 2022, Buysse et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Buysse, Tavia
Kotwal, Vikram
Gastric Outlet Obstruction Caused by a Duodenal Clot
title Gastric Outlet Obstruction Caused by a Duodenal Clot
title_full Gastric Outlet Obstruction Caused by a Duodenal Clot
title_fullStr Gastric Outlet Obstruction Caused by a Duodenal Clot
title_full_unstemmed Gastric Outlet Obstruction Caused by a Duodenal Clot
title_short Gastric Outlet Obstruction Caused by a Duodenal Clot
title_sort gastric outlet obstruction caused by a duodenal clot
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8980256/
https://www.ncbi.nlm.nih.gov/pubmed/35399452
http://dx.doi.org/10.7759/cureus.22814
work_keys_str_mv AT buyssetavia gastricoutletobstructioncausedbyaduodenalclot
AT kotwalvikram gastricoutletobstructioncausedbyaduodenalclot