Article Figures & Data
Figures
- Figure 1
Computed tomography of the abdomen in the axial plane shows gastric distention (A, arrow) and a 3.9-cm mass at the pancreatic head, with compression of the descending duodenum (B, arrow), resulting in gastric outlet obstruction. The patient, a 72-year-old woman, presented with 1 week of nausea and vomiting and was found to have pancreatic cancer. She was treated with endoscopic stenting.
- Figure 2
Esophagogastroduodenoscopy (A) shows a large submucosal mass in the duodenal bulb (upper arrow), with localized erosions (lower arrow). The mass was 40 × 41 mm in cross-sectional diameter on endoscopic ultrasonography. Fine-needle aspiration and pathology study revealed pancreatic adenocarcinoma. The obstruction was successfully opened (B) with a 22-mm × 12-cm WallFlex stent (Boston Scientific). The patient tolerated a liquid diet after the procedure.
Tables
Benign Peptic ulcer disease Nonsteroidal anti-inflammatory drug-associated stricture Caustic ingestion Postsurgical stricture or scarring Acute pancreatitis Pancreatic pseudocyst Annular pancreas and chronic pancreatitis Radiation-induced stricture Bezoar or foreign body Benign tumor (adenoma, lipoma, stromal tumor, carcinoid) Pancreatic heterotopia Crohn disease Eosinophilic gastroenteritis Tuberculosis Adult hypertrophic pyloric stenosis Amyloidosis Bouveret syndrome (gallstone) Ladd band Diaphragmatic hernia Gastric volvulus Percutaneous endoscopic gastrostomy tube migration Malignant Pancreatic cancer, cystic neoplasm Gastric cancer Gallbladder and bile duct cancer Hepatocellular carcinoma Ampullary cancer Duodenal cancer Gastric lymphoma (mucosa-associated lymphoid tissue) Metastatic disease (colon, ovary, breast, lung) Retroperitoneal sarcoma Retroperitoneal lymphadenopathy Gastrointestinal stromal tumor
