Gastric outlet obstruction in Maiduguri

Area of Science:

• Gastroenterology
• Surgical Gastroenterology
• Clinical Medicine

Background:

• Gastric outlet obstruction (G.O.O.) is a critical condition affecting the digestive system.
• Understanding the etiological spectrum of G.O.O. is essential for effective management.
• Previous studies highlight the need for localized data on G.O.O. causes and presentation.

Purpose of the Study:

• To analyze the causes and clinical presentation of gastric outlet obstruction (G.O.O.) at a tertiary hospital.
• To evaluate diagnostic methods and treatment approaches for G.O.O. in the reviewed patient cohort.
• To provide epidemiological data on G.O.O. in the Maiduguri region.

Main Methods:

• Retrospective review of 64 cases of gastric outlet obstruction (G.O.O.) diagnosed between 1991 and 1996.
• Clinical data collection included patient history, physical examination findings, and diagnostic results.
• Diagnostic confirmation utilized barium studies and/or gastroduodenoscopy.

Main Results:

• Cicatrising chronic duodenal ulcer was the leading cause (65.7%), followed by gastric antral carcinoma (15%).
• Congenital hypertrophic pyloric stenosis (9.4%) and pancreatic head carcinoma (6%) were also significant causes.
• Common symptoms included forceful vomiting, dyspepsia, visible peristalsis, weight loss, and electrolyte imbalances.

Conclusions:

• Cicatrising chronic duodenal ulcer is the predominant cause of gastric outlet obstruction (G.O.O.) in this region.
• Clinical diagnosis supported by imaging (barium studies, gastroduodenoscopy) is effective for identifying G.O.O. causes.
• Tailored treatment strategies based on the etiology of G.O.O. are crucial for patient outcomes.