Gastric outlet obstruction Flashcards

1
Q

What is gastric outlet obstruction?

A

Obstruction at the level of the pylorus

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2
Q

What is the pylorus?

A

Exit of the stomach into the duodenum

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3
Q

Causes of GOO? (3)

A

Stricture
Ulcer
Cancer (pancreatic)

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4
Q

Symptoms of gastric outlet obstruction? (3)

A

Vomiting
Early satiety
Weight loss

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5
Q

Signs of gastric outlet obstruction? (5)

A
Abdominal distension
Gastric splash
Dehydration (loss of H+ & Cl- in vomit)
Metabolic alkalosis
Renal impairment
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6
Q

Investigations of GOO? (2)

A

Upper GI endoscopy

Blood tests

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7
Q

What will the blood tests show in GOO? (4)

A

Low Cl
Low Na
Low K
Renal impairment

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8
Q

Treatment of GOO? (2)

A

Endoscopic balloon dilatation

Surgery

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