BACKGROUND Combined intestinal and biliary stenting is one of the effective palliative methods for patients with malignant gastric outlet and biliary obstruction. This study was to evaluate the effect of combined intestinal and biliary stenting in the palliation of gastric outlet and biliary obstruction. METHODS Thirty-two patients with malignant gastric outlet and biliary obstruction underwe...

Sarcina are gram-positive anaerobic bacteria found to be associated with delayed gastric emptying and gastric outlet obstruction. We describe two cases of Sarcina co-existing with Helicobacter pylori organisms in pediatric siblings presenting within four months of each other with pyloric obstruction secondary to severe gastritis/duodenitis. The co-existence of Sarcina and Helicobacter pylori ha...

Gastric outlet obstruction due to ulceration is extremely rare in childhood. We report a case of gastric outlet obstruction possibly secondary to peptic ulceration and our surgical management. Our approach, without vagotomy or antrectomy, would appear to be a safe and effective.

Gastric outlet obstruction (GOO) after esophagectomy is a morbid outcome and significantly hinders quality of life for end-stage esophageal cancer patients. In the pre-stent era, palliation consisted of chemotherapy, radiation, tumor ablation, or stricture dilation. In the current era, palliative stenting has emerged as an additional tool; however, migration and tumor ingrowth are ongoing chall...

relatively uncommon. Unintentional ingestions are usually those of meat or fish bones. Concurrent alcohol consumption is often a contributing factor. Intentional ingestions are more common occurrences in those who are intellectually impaired, have psychiatric illness, are prisoners or are edentulous. Previously published guidelines have demonstrated that 80%–90% of foreign bodies reaching the g...

AIM To investigate the current management of gastric antral webs (GAWs) among adults and identify optimal endoscopic and/or surgical management for these patients. METHODS We reviewed our endoscopy database seeking to identify patients in whom a GAW was visualized among 24640 esophagogastroduodenoscopies (EGD) over a seven-year period (2006-2013) at a single tertiary care center. The diagnosi...

Internal hernias comprise 1% of hernias, 8% of which are through the foramen of Winslow into the lesser sac. These hernias can mimic gastric outlet obstruction and cause associated morbidity. In this case, we describe a caecal herniation into the lesser sac presenting as true gastric outlet obstruction in a 69-year-old female. Initial computed tomography (CT) imaging demonstrated a distended st...

CONTEXT Focal post-traumatic acute pancreatitis causing combined duodenal and biliary obstruction is extremely rare. CASE REPORT A 16-year-old boy presented with acute upper abdominal pain which was clinically and biochemically consistent with mild acute pancreatitis. There was no etiological factor identified initially, although a history of blunt abdominal trauma was later discovered. He so...

New approaches to endoscopic ultrasound-guided gastroenterostomy (EUSGE) are under development, incorporating devices designed for transluminal therapy. Herein is the initial reported use of a novel, double-flanged, fully covered, self-expandable, metal stent with cautery, aimed at refining the EUS-GE procedure. A 43-year-old man was diagnosed with paraduodenal pancreatitis and walledoff necros...