Gastric outlet obstruction Flashcards
1
Q
What is gastric outlet obstruction?
A
Obstruction at the level of the pylorus
2
Q
What is the pylorus?
A
Exit of the stomach into the duodenum
3
Q
Causes of GOO? (3)
A
Stricture
Ulcer
Cancer (pancreatic)
4
Q
Symptoms of gastric outlet obstruction? (3)
A
Vomiting
Early satiety
Weight loss
5
Q
Signs of gastric outlet obstruction? (5)
A
Abdominal distension Gastric splash Dehydration (loss of H+ & Cl- in vomit) Metabolic alkalosis Renal impairment
6
Q
Investigations of GOO? (2)
A
Upper GI endoscopy
Blood tests
7
Q
What will the blood tests show in GOO? (4)
A
Low Cl
Low Na
Low K
Renal impairment
8
Q
Treatment of GOO? (2)
A
Endoscopic balloon dilatation
Surgery