Aetiological spectrum of benign gastric outlet obstruction in India: new trends

Trop Doct. 2016 Oct;46(4):186-191. doi: 10.1177/0049475515626032. Epub 2016 Jan 15.

Abstract

There is a paucity of data on the spectrum of benign gastric outlet obstruction in India. Our aim was to evaluate its spectrum and to identify the subgroup which would be most amenable to endoscopic therapy. We studied 64 patients whose aetiology revealed in approximately equal proportions: corrosive injury; gastroduodenal tuberculosis (TB); and peptic ulcer disease. The median number of endoscopic dilations required was two for TB, four for peptic ulcer disease and five for corrosive injury. Gastroduodenal TB and corrosive injury appear now to be more, or at least as, common as peptic ulcer disease as causes of benign gastric outlet obstruction in India. Gastroduodenal TB responds best to endoscopic therapy.

Keywords: Stomach; corrosive; endoscopic dilation; gastric outlet obstruction; peptic ulcer disease; tuberculosis (TB).

MeSH terms

  • Adult
  • Aged
  • Caustics / adverse effects*
  • Female
  • Gastric Outlet Obstruction / diagnostic imaging
  • Gastric Outlet Obstruction / etiology*
  • Humans
  • India
  • Male
  • Middle Aged
  • Peptic Ulcer / complications*
  • Prospective Studies
  • Pyloric Stenosis / complications*
  • Stomach / injuries*

Substances

  • Caustics