What causes GOO? The major benign causes of GOO are PUD, gastric polyps, ingestion of caustics, pyloric stenosis, congenital duodenal webs, gallstone obstruction (Bouveret syndrome), pancreatic pseudocysts, and bezoars. PUD manifests in approximately 5% of all patients with GOO.
What is gastric outflow obstruction?
Gastric outlet obstruction (GOO) is a clinical syndrome characterized by epigastric abdominal pain and postprandial vomiting due to mechanical obstruction. The term gastric outlet obstruction is a misnomer since many cases are not due to isolated gastric pathology, but rather involve duodenal or extraluminal disease.
What causes Succussion splash?
A succussion splash, also known as a gastric splash, is a sloshing sound heard through a stethoscope during sudden movement of the patient on abdominal auscultation. It reflects the presence of gas and fluid in an obstructed organ, as in gastric outlet obstruction.
What are the symptoms of pyloric stenosis in adults?
Conclusion: Adult Idiopathic hypertrophic pyloric stenosis (AIHPS) is a rare disease which is also underreported due to a difficulty in diagnosis. The most common symptoms of AIHPS are postprandial nausea, vomiting, early satiety, and epigastric pain as seen in our patient.
What is Bouveret’s syndrome?
Bouveret’s syndrome is a rare cause of gastric outlet obstruction. Its diagnosis is often delayed or overlooked. It is characterized by the passage of a large gall bladder stone through a bilio-duodenal fistula, which becomes lodged in the duodenum causing duodenal obstruction.
Who is at risk for dumping syndrome?
Who is most at risk for getting dumping syndrome? You are more likely to experience early or late dumping syndrome if you have had certain types of gastric surgeries. It is most common in people who have had surgeries that remove or bypass large portions of the stomach.
Can hiatal hernia cause gastric outlet obstruction?
Complications of hiatal hernia are rarely considered in patients presenting with acute chest or epigastric pain as well as acute gastric outlet obstruction. Obstructive symptoms can range from mild nausea, bloating, postprandial fullness, dysphagia, retching or vomiting but rarely lead to the diagnosis in the ED.
What is the meaning of Succussion?
: the action or process of shaking or the condition of being shaken especially with violence: a : a shaking of the body to ascertain if fluid is present in a cavity and especially in the thorax.
What is removed during a Gastroenterostomy?
Diagram of the stomach, showing the different regions. A gastroenterostomy is the surgical creation of a connection between the stomach and the jejunum. The operation can sometimes be performed at the same time as a partial gastrectomy (the removal of part of the stomach).
What happens if pyloric stenosis is left untreated?
If left untreated, hypertrophic pyloric stenosis can cause: Dehydration. Electrolyte imbalance. Lethargy.
Is pyloric stenosis life threatening?
Discussion. This is a case re-affirming that infantile hypertrophic pyloric stenosis (IHPS) can present with severe electrolyte abnormalities and can be a medical emergency as seen in this patient.
What are the long term effects of pyloric stenosis?
There are no long-term effects. Recurrence of HPS is extremely rare with only a one percent chance. The rare baby with recurrent pyloric stenosis is still expected to have a normal gastro-intestinal tract long term, but may need additional surgery or nutritional therapy to recover.
What is mirizzi?
INTRODUCTION. Mirizzi syndrome is defined as common hepatic duct obstruction caused by extrinsic compression from an impacted stone in the cystic duct or infundibulum of the gallbladder [1-3]. Patients with Mirizzi syndrome can present with jaundice, fever, and right upper quadrant pain.
What is Courvoisier’s law?
Abstract. According to Courvoisier’s law; if gallbladder is palpable in a jaundiced patient, it is unlikely to be due to gallstones, because stones would have given rise to chronic inflammation and subsequently fibrosis of gallbladder therefore, rendering it incapable of dilatation.
What is inflammation of the bile duct?
Cholangitis is an inflammation of the bile duct system. The bile duct system carries bile from your liver and gallbladder into the first part of your small intestine (the duodenum). In most cases cholangitis is caused by a bacterial infection, and often happens suddenly. But in some cases it may be long-term (chronic).
Can pyloric stenosis be treated without surgery?
Nonsurgical treatment for infantile hypertrophic pyloric stenosis with atropine sulfate, either intravenous or oral, is an alternative in the rare case that general anesthesia or surgery is contraindicated.
What is dumping syndrome signs and symptoms?
Most people with dumping syndrome develop signs and symptoms, such as abdominal cramps and diarrhea, 10 to 30 minutes after eating. Other people have symptoms one to three hours after eating, and still others have both early and late symptoms.
Why do I poop straight after I eat?
Passing stool immediately after a meal is usually the result of the gastrocolic reflex, which is a normal bodily reaction to food entering the stomach. Almost everyone will experience the effects of the gastrocolic reflex from time to time.
Is there a cure for dumping syndrome?
Early dumping syndrome often gets better without treatment in a few months. Dietary changes and medicine may help. If dumping syndrome doesn’t improve, surgery many be needed to relieve the problem.
What is a Type 3 paraesophageal hernia?
Type III hiatal hernias are combined hernias in which the gastroesophageal junction is herniated above the diaphragm and the stomach is herniated alongside the esophagus. The majority of paraesophageal hernias are type III.
What is a paraesophageal hernia?
A paraesophageal hernia occurs when the lower part of the esophagus, the stomach, or other organs move up into the chest. The hiatus is an opening in the diaphragm (a muscle separating the chest from the abdomen) through which organs pass from the chest into the abdomen.
Is Succeeded meaning?
intransitive verb. 1a : to come next after another in office or position or in possession of an estate especially : to inherit sovereignty, rank, or title. b : to follow after another in order. 2a : to turn out well.
What is the meaning of trituration?
to reduce to fine particles or powder by rubbing, grinding, bruising, or the like; pulverize. noun. a triturated substance.
What is Succussion in homeopathy?
In homeopathy, homeopathic dilution (known by practitioners as « dynamisation » or « potentisation ») is a process in which a substance is diluted with alcohol or distilled water and then vigorously shaken in a process called « succussion ».