BACKGROUND Gastric outlet obstruction (GOO) can occur with locally invasive or metastatic cancer involving the upper gastrointestinal tract at the pylorus or the duodenum. Endoscopic management with self-expanding metal stents (SEMSs) is often the preferred palliative approach. Stent occlusion is a common reason for failure and reintervention. We set out to determine whether the location of the...

Background/Aims Endoscopic placement of self-expandable metal stents (SEMSs) has emerged as a palliative treatment for malignant gastric outlet obstruction (GOO). Although covered SEMSs can prevent tumor ingrowth, frequent migration of covered SEMSs may offset their advantages in preventing tumor ingrowth. Methods We conducted this multicenter, single-arm, retrospective study at six tertiary ...

OBJECTIVE To investigate the utility of gastrojejunostomy for the palliation of gastric outlet obstruction in irresectable or incurable gastric carcinoma. METHODS This is a retrospective review of 67 patients who underwent a gastrojejunostomy for gastric outlet obstruction caused by gastric carcinoma between 1 January 1996 and 31 May 2003. RESULTS There were 19 complications after surgery, ...

Background and Aims In the management of gastric outlet obstruction (GOO), EUS-guided gastroenterostomy (EUS-GE) seems to be safe more effective than enteral stent placement. However, comparisons with laparoscopic GE (L-GE) are scarce. Our aim was perform a propensity score–matched comparison between EUS-GE L-GE. Methods An international, multicenter, retrospective analysis performed consecutiv...

A case of gastric outlet obstruction accompanied by diffuse gastritis and gastric ulcer due to cytomegalovirus infection is presented. The patient, a woman aged 67 years with a long history of rheumatoid arthritis under immunosuppressive treatment (methotrexate), was admitted to our department complaining mostly of abdominal pain located in the epigastrium and the right abdomen. Upper gastroint...

Background/Aims: Self-expandable metal stents (SEMSs) are effective palliation for malignant gastric outlet obstruction (GOO). Double-layered (Comvi) SEMSs were developed to overcome limitations of uncovered or covered SEMSs. The aims of study were to evaluate efficacy and safety of Comvi stent compared with uncovered and covered stents, and to determine factors related to stent patency. Method...

Background: In gastrointestinal surgery after resection of bowel loops, anastomosis the loops forms main part surgery. The evolution mechanical sutures by stapler devices is a technological advancement which helps with less tissue injury and decreased time duration procedure. Objective current study was to compare hand sewn in various types elective surgeries. Methods: A retrospective comparati...

BACKGROUND Gastric outlet obstruction poses diagnostic and therapeutic challenges to general surgeons practicing in resource-limited countries. There is a paucity of published data on this subject in our setting. This study was undertaken to highlight the etiological spectrum and treatment outcome of gastric outlet obstruction in our setting and to identify prognostic factors for morbidity and ...

BACKGROUND Gastric tuberculosis is rare, and usually associated with pulmonary tuberculosis or an immunodeficient state. Here, we report five cases of gastric tuberculosis in immunocompetent patients without evidence of pulmonary involvement. CASE PRESENTATION Three patients presented with gastric outlet obstruction that required surgery to relieve the obstruction as well as to confirm the di...