Background and aims: Helicobacter pylori (HP) causes peptic ulcer disease and occasionally gastric outlet obstruction (GOO) but not biliary obstruction. We describe a case of severe HP gastritis causing both GOO and biliary stricture. Methods: Clinic notes, imaging, endoscopy and pathology reports, and hospital course were reviewed. Design: Single case report. Setting: Tertiary care, academic m...

A 56-year-old male with metastatic unresectable cholangiocarcinoma presented to our clinic with worsening nausea and vomiting. Prior to presentation, the patient underwent placement of a palliative metal biliary stent and an uncovered self-expandable metal stents (UCSEMS) through the pylorus and duodenum for gastric outlet obstruction (GOO) from tumor burden. However, the patient subsequently d...

BACKGROUND AND OBJECTIVES Laparoscopic gastrojejunostomy (LGJ) has been proposed as the technique preferred over open gastrojejunostomy for relieving gastric outlet obstruction (GOO) due to malignant and benign disease. This study investigates the feasibility and safety of LGJ for GOO. METHODS A retrospective review was performed of patients who underwent LGJ at Mount Sinai Medical Center fro...

AIM To evaluate the results of duodenal stenting for palliation of gastroduodenal malignant obstruction by using a gastric outlet obstruction score (GOOS). METHODS A prospective, non-randomized study was performed at a tertiary center between August 2005 and April 2010. Patients were eligible if they had malignant gastric outlet obstruction (GOO) and were not candidates for surgical treatment...

Gastric outlet obstruction (GOO) in children is most commonly caused by idiopathic hypertrophic pyloric stenosis. Prior to proton pump inhibitors and H2 blockers, peptic ulcer disease (PUD) secondary to H. pylori was a cause of GOO. Both patients presented with a history of weight loss, vomiting, and abdominal pain. Their diagnosis of PUD and GOO was made by EGD and UGI. H. pylori testing was n...

BACKGROUND Malignant gastric outlet obstruction (GOO) is commonly seen in patients with advanced gastric-, pancreatic-, duodenal, hepatobiliary or metastatic malignancies. Ten to 25% of patients with pancreatic cancer will develop duodenal obstruction during the course of the disease. Duodenal stenting with self-expandable metal stents is an alternative treatment to surgical bypass procedures. ...