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Massive gastric dilation caused by gastric outlet obstruction in the setting of peptic ulcer disease-A case report

Costa, C S ; Pratas, N ; Capote, H

International journal of surgery case reports, 2020, Vol.70, p.64-67

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Título:
Massive gastric dilation caused by gastric outlet obstruction in the setting of peptic ulcer disease-A case report
Autor: Costa, C S ; Pratas, N ; Capote, H
É parte de: International journal of surgery case reports, 2020, Vol.70, p.64-67
Notas: ObjectType-Case Study-2
content type line 59
SourceType-Reports-1
ObjectType-Report-1
Descrição: BACKGROUNDThe prevalence of Peptic Ulcer Disease has decreased as did its elective surgical treatment, however its complications continue to occur. Gastric Outlet Obstruction is the least frequent complication of Peptic Ulcer disease. CASE SUMMARYIn this report, we present a case of massive gastric dilation due to gastric outlet obstruction, that needed emergency surgery due to perforation. A subtotal gastrectomy with a Billroth II reconstruction was performed. DISCUSSIONUsually non-operative management is tried first, with medical therapy and endoscopic dilation. Emergent surgery is rarely needed, but in this patient, despite trying to optimize his condition first, the ulcer perforation precipitated surgical management. CONCLUSIONAlthough Gastric Outlet Obstruction is the least frequent complication of Peptic Ulcer Disease and usually non-operative treatment is tried first, surgery may be necessary.
Idioma: Inglês

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