Benign gastric outlet obstruction surgery: A tertiary center experience

Abstract

Gastric outlet obstruction (GOO) is a clinical diagnosis that includes abdominal pain, postprandial nausea with or without vomiting, early satiety, and abdominal discomfort. In chronic cases, weight loss can also be added to the symptoms. In this study, it was aimed to examine the characteristics of gastric outlet obstructions underwent surgery for benign reasons in a single tertiary center. Patients who were operated due to benign gastric outlet obstruction between 2010 and 2018 in the Van Yuzuncu Yil University Departmant of General Surgery were selected retrospectively. Preoperative, intraoperative and postoperative data of the patients were collected from hospital records. The diagnosis process and treatment approaches of the patients were evaluated in the light of the literature. Average age of 9 patients participating in the study was 47.4 ± 12.18 years (26-58) and the male/female ratio was 2. The most common symptom was abdominal pain (77.8%), while the most common symptom was d ehydration (66.7%). In endoscopy, 8 patients had stenosis and 5 had ulcers. Billroth II gastrectomy was the main surgical procedure performed (n=7, 77.7%). Chronic gastritis (66.7%) was the main diagnosis in the pathological samples. In addition, Helicobac ter pylori positivity was observed in 7 (77.8%) of 9 patients. Morbidity and mortality rates of the study were 33.3% and 22.2%, respectively. GOO due to benign diseases is a rare problem. Endoscopic methods and symptomatic treatments should be tried primarily in the treatment of GOO. If there is no improvement in symptoms and signs despite symptomatic treatments, surgical treatment should be applied.