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

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Sudhir Maharshi1, Amarender Singh Puri2, Sanjeev Sachdeva3

  • 1Senior Resident, Department of Gastroenterology, GB Pant Hospital, New Delhi, India.

Tropical Doctor
|January 17, 2016
PubMed

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:
Stomachcorrosiveendoscopic dilationgastric outlet obstructionpeptic ulcer diseasetuberculosis (TB)

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