Gastric outlet obstruction, another case by Dr. Siddique Akbar Satti

Dr. Siddique Akbar satti has been explaining various causes of gastric outlet obstruction, this case is the continuation of his current subject.

This is the case of 76 year old male with past medical history of hypertension and Acid peptic disease presented to the outpatient department of Capital Hospital Islamabad complaining of dyspepsia, early satiety, weight loss since last 3 months and vomiting if he tries to eat more. Lab studies and abdominal ultrasound were unremarkable. All these symptoms in view of his age and previous history of APD suggest that there could be some stricture or growth around gastric outlet, so in order to confirm that Dr. Siddique Akbar Satti went for upper GI endoscopy which was done on 6/4/15. He got the following picture of this old gentle man.

Dr. S A Satti writes in his report, “There is a Polypoidal growth in the duodenum bulb causing obstruction in the passage of D2. There is patchy ulceration with mucosal friability and contact bleeding in the covering mucosa of the growth. Multiple biopsies taken from the Polypoidal growth.

The biopsy report is awaited. This is another cause of gastric outlet obstruction or pyloric stenosis.

Special Thanks Dr. Siddique Akbar Satti, Head Department of Medicine, Capital Hospital Islamabad, who is also an honorable member of Editorial Board of MedicoTips.com.