Gastric Outlet Obstruction: A Case Report

Abstract

Introduction: Gastric outlet obstruction is an obstruction in the pylorus of stomach it is also known as a
pyloric obstruction. It is a common condition but sometimes accurate cause could not be found in these
cases it can be diagnosed on the basis of signs and symptoms and on diagnostic evaluation i.e endoscopic
examination, barium meal, ultrasonogaphy, computed tomography and chest x-ray.
Case Presentation: Here we are mentioninga 50- year’sold male visited our hospital with the complaints
of severe abdominal pain, nausea and vomiting since 2 days, weakness since 5 months, has passed stool 2
days ago, weight loss for 2 months. All routine laboratory tests were done in this case and all the results
were within normal range except decreased hemoglobin level, increase in white blood cells also increased
creatinine level and decreased albumin level. In Abdominal ultrasonography it was mentioned that severely
edematous mucosa with erosive patches and places, Pyloric canal deformed scope could not be negotiated
across the pylorus. Barium meal study depicted dilated stomach where greater curvature is below the level
of iliac crest. Finally a client case was diagnosed as a gastric outlet obstruction. Primarily as per priority
Blood transfusion and all conservative treatment was started by surgical team but client was not relieved
of obstruction by the medical management. Diagnostic exploratory laparotomy with repair of duodenal
perforation with gastrojejunostomy under general anesthesia was done. Vital signs and cardiac monitoring
was done. Maintained intravenous fluid and colour of drainage was observed, propped up position and
antibiotic, analgesic, anti emetic given and ryle’s tube aspiration was done 4 hourly also abdominal girth was
also measured 4 hourly. A positive response to treatment was observed by patient. Patient was discharged
with full recovery without any postoperative complication.
Conclusion: In this study, we mainly focus on expert surgical management and quality nursing care due
to which the patient was discharged without any postoperative complications and satisfaction with full
recovery