Gastric Outlet Obstruction Questions & Answers

1. Andersson A, Bergdahl L. Carcinoid tumors of the appendix in children. A report of 25 cases. Acta Chir Scand. 1977. 143 (3):173-5. [QxMD MEDLINE Link].

2. Gibson JB, Behrman SW, Fabian TC, Britt LG. Gastric outlet obstruction resulting from peptic ulcer disease requiring surgical intervention is infrequently associated with Helicobacter pylori infection. J Am Coll Surg. 2000 Jul. 191 (1):32-7. [QxMD MEDLINE Link].

3. Lam YH, Lau JY, Fung TM, Ng EK, Wong SK, Sung JJ, et al. Endoscopic balloon dilation for benign gastric outlet obstruction with or without Helicobacter pylori infection. Gastrointest Endosc. 2004 Aug. 60 (2):229-33. [QxMD MEDLINE Link].

4. Taskin V, Gurer I, Ozyilkan E, Sare M, Hilmioglu F. Effect of Helicobacter pylori eradication on peptic ulcer disease complicated with outlet obstruction. Helicobacter. 2000 Mar. 5 (1):38-40. [QxMD MEDLINE Link].

5. Gouma DJ, van Geenen R, van Gulik T, de Wit LT, Obertop H. Surgical palliative treatment in bilio-pancreatic malignancy. Ann Oncol. 1999. 10 Suppl 4:269-72. [QxMD MEDLINE Link].

6. Doberneck RC, Berndt GA. Delayed gastric emptying after palliative gastrojejunostomy for carcinoma of the pancreas. Arch Surg. 1987 Jul. 122 (7):827-9. [QxMD MEDLINE Link].

7. Abdel-Salam WN, Katri KM, Bessa SS, El-Kayal el-SA. Laparoscopic-assisted truncal vagotomy and gastro-jejunostomy: trial of simplification. J Laparoendosc Adv Surg Tech A. 2009 Apr. 19 (2):125-7. [QxMD MEDLINE Link].

8. Siu WT, Tang CN, Law BK, Chau CH, Yau KK, Yang GP, et al. Vagotomy and gastrojejunostomy for benign gastric outlet obstruction. J Laparoendosc Adv Surg Tech A. 2004 Oct. 14 (5):266-9. [QxMD MEDLINE Link].

9. Kim SM, Song J, Oh SJ, Hyung WJ, Choi SH, Noh SH. Comparison of laparoscopic truncal vagotomy with gastrojejunostomy and open surgery in peptic pyloric stenosis. Surg Endosc. 2009 Jun. 23 (6):1326-30. [QxMD MEDLINE Link].

10. Hall NJ, Pacilli M, Eaton S, Reblock K, Gaines BA, Pastor A, et al. Recovery after open versus laparoscopic pyloromyotomy for pyloric stenosis: a double-blind multicentre randomised controlled trial. Lancet. 2009 Jan 31. 373 (9661):390-8. [QxMD MEDLINE Link].

11. Jaffin BW, Kaye MD. The prognosis of gastric outlet obstruction. Ann Surg. 1985 Feb. 201 (2):176-9. [QxMD MEDLINE Link].

12. Khullar SK, DiSario JA. Gastric outlet obstruction. Gastrointest Endosc Clin N Am. 1996 Jul. 6 (3):585-603. [QxMD MEDLINE Link].

13. Kurtz RC, Sherlock P. Carcinoma of the stomach. Bockus Gastroenterology. 4th ed. Philadelphia: WB Saunders; 1985.

14. Lillemoe KD, Sauter PK, Pitt HA, Yeo CJ, Cameron JL. Current status of surgical palliation of periampullary carcinoma. Surg Gynecol Obstet. 1993 Jan. 176 (1):1-10. [QxMD MEDLINE Link].

15. Lillemoe KD, Cameron JL, Hardacre JM, Sohn TA, Sauter PK, Coleman J, et al. Is prophylactic gastrojejunostomy indicated for unresectable periampullary cancer? A prospective randomized trial. Ann Surg. 1999 Sep. 230 (3):322-8; discussion 328-30. [QxMD MEDLINE Link].

16. Arciero CA, Joseph N, Watson JC, Hoffman JP. Partial stomach-partitioning gastrojejunostomy for malignant duodenal obstruction. Am J Surg. 2006 Mar. 191 (3):428-32. [QxMD MEDLINE Link].

17. Bergamaschi R, Mårvik R, Thoresen JE, Ystgaard B, Johnsen G, Myrvold HE. Open versus laparoscopic gastrojejunostomy for palliation in advanced pancreatic cancer. Surg Laparosc Endosc. 1998 Apr. 8 (2):92-6. [QxMD MEDLINE Link].

18. Alam TA, Baines M, Parker MC. The management of gastric outlet obstruction secondary to inoperable cancer. Surg Endosc. 2003 Feb. 17 (2):320-3. [QxMD MEDLINE Link].

19. Kantsevoy SV, Jagannath SB, Niiyama H, Chung SS, Cotton PB, Gostout CJ, et al. Endoscopic gastrojejunostomy with survival in a porcine model. Gastrointest Endosc. 2005 Aug. 62 (2):287-92. [QxMD MEDLINE Link].

20. Chopita N, Vaillaverde A, Cope C, Bernedo A, Martinez H, Landoni N, et al. Endoscopic gastroenteric anastomosis using magnets. Endoscopy. 2005 Apr. 37 (4):313-7. [QxMD MEDLINE Link].

21. No JH, Kim SW, Lim CH, Kim JS, Cho YK, Park JM, et al. Long-term outcome of palliative therapy for gastric outlet obstruction caused by unresectable gastric cancer in patients with good performance status: endoscopic stenting versus surgery. Gastrointest Endosc. 2013 Jul. 78 (1):55-62. [QxMD MEDLINE Link].

22. Chopita N, Landoni N, Ross A, Villaverde A. Malignant gastroenteric obstruction: therapeutic options. Gastrointest Endosc Clin N Am. 2007 Jul. 17 (3):533-44, vi-vii. [QxMD MEDLINE Link].

23. Holt AP, Patel M, Ahmed MM. Palliation of patients with malignant gastroduodenal obstruction with self-expanding metallic stents: the treatment of choice?. Gastrointest Endosc. 2004 Dec. 60 (6):1010-7. [QxMD MEDLINE Link].

24. Adler DG, Merwat SN. Endoscopic approaches for palliation of luminal gastrointestinal obstruction. Gastroenterol Clin North Am. 2006 Mar. 35 (1):65-82, viii. [QxMD MEDLINE Link].

25. Baron TH. Surgical versus endoscopic palliation of malignant gastric outlet obstruction: big incision, little incision, or no incision?. Gastroenterology. 2004 Oct. 127 (4):1268-9. [QxMD MEDLINE Link].

26. Telford JJ, Carr-Locke DL, Baron TH, Tringali A, Parsons WG, Gabbrielli A, et al. Palliation of patients with malignant gastric outlet obstruction with the enteral Wallstent: outcomes from a multicenter study. Gastrointest Endosc. 2004 Dec. 60 (6):916-20. [QxMD MEDLINE Link].

27. Song GA, Kang DH, Kim TO, Heo J, Kim GH, Cho M, et al. Endoscopic stenting in patients with recurrent malignant obstruction after gastric surgery: uncovered versus simultaneously deployed uncovered and covered (double) self-expandable metal stents. Gastrointest Endosc. 2007 May. 65 (6):782-7. [QxMD MEDLINE Link].

28. Maetani I, Mizumoto Y, Shigoka H, Omuta S, Saito M, Tokuhisa J, et al. Placement of a triple-layered covered versus uncovered metallic stent for palliation of malignant gastric outlet obstruction: a multicenter randomized trial. Dig Endosc. 2014 Mar. 26 (2):192-9. [QxMD MEDLINE Link].

29. Yim HB, Jacobson BC, Saltzman JR, Johannes RS, Bounds BC, Lee JH, et al. Clinical outcome of the use of enteral stents for palliation of patients with malignant upper GI obstruction. Gastrointest Endosc. 2001 Mar. 53 (3):329-32. [QxMD MEDLINE Link].

30. Del Piano M, Ballarè M, Montino F, Todesco A, Orsello M, Magnani C, et al. Endoscopy or surgery for malignant GI outlet obstruction?. Gastrointest Endosc. 2005 Mar. 61 (3):421-6. [QxMD MEDLINE Link].

31. Wong YT, Brams DM, Munson L, Sanders L, Heiss F, Chase M, et al. Gastric outlet obstruction secondary to pancreatic cancer: surgical vs endoscopic palliation. Surg Endosc. 2002 Feb. 16 (2):310-2. [QxMD MEDLINE Link].

32. van Hooft JE, van Montfoort ML, Jeurnink SM, Bruno MJ, Dijkgraaf MG, Siersema PD, et al. Safety and efficacy of a new non-foreshortening nitinol stent in malignant gastric outlet obstruction (DUONITI study): a prospective, multicenter study. Endoscopy. 2011 Aug. 43 (8):671-5. [QxMD MEDLINE Link].

33. Mansoor H, Zeb F. Enteral stents are safe and effective to relieve malignant gastric outlet obstruction in the elderly. J Gastrointest Cancer. 2015 Mar. 46 (1):42-7. [QxMD MEDLINE Link].

34. Bomman S, Ghafoor A, Sanders DJ, Jayaraj M, Chandra S, Krishnamoorthi R. Endoscopic ultrasound-guided gastroenterostomy versus surgical gastrojejunostomy in treatment of malignant gastric outlet obstruction: Systematic review and meta-analysis. Endosc Int Open. 2022 Apr. 10 (4):E361-E368. [QxMD MEDLINE Link]. [Full Text].

35. Huang YL, Lee HC, Yeung CY, Chen WT, Jiang CB, Sheu JC, et al. Sonogram before and after pyloromyotomy: the pyloric ratio in infantile hypertrophic pyloric stenosis. Pediatr Neonatol. 2009 Jun. 50 (3):117-20. [QxMD MEDLINE Link].

Andres E Castellanos, MD Assistant Professor, Associate Surgical Residency Program Director, Department of Surgery, Drexel University College of Medicine

Andres E Castellanos, MD is a member of the following medical societies: American College of Surgeons

Disclosure: Nothing to disclose.

Erica Rachel Podolsky, MD Resident Physician, Division of General Surgery, Drexel University College of Medicine

Erica Rachel Podolsky, MD is a member of the following medical societies: American College of Surgeons

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

John Geibel, MD, MSc, DSc, AGAF Vice Chair and Professor, Department of Surgery, Section of Gastrointestinal Medicine, Professor, Department of Cellular and Molecular Physiology, Yale University School of Medicine; Director of Surgical Research, Department of Surgery, Yale-New Haven Hospital; American Gastroenterological Association Fellow; Fellow of the Royal Society of Medicine

John Geibel, MD, MSc, DSc, AGAF is a member of the following medical societies: American Gastroenterological Association, American Physiological Society, American Society of Nephrology, Association for Academic Surgery, International Society of Nephrology, New York Academy of Sciences, Society for Surgery of the Alimentary Tract

Disclosure: Nothing to disclose.

Brian J Daley, MD, MBA, FACS, FCCP, CNSC Professor and Program Director, Department of Surgery, Chief, Division of Trauma and Critical Care, University of Tennessee Health Science Center College of Medicine

Brian J Daley, MD, MBA, FACS, FCCP, CNSC is a member of the following medical societies: American Association for the Surgery of Trauma, Eastern Association for the Surgery of Trauma, Southern Surgical Association, American College of Chest Physicians, American College of Surgeons, American Medical Association, Association for Academic Surgery, Association for Surgical Education, Shock Society, Society of Critical Care Medicine, Southeastern Surgical Congress, Tennessee Medical Association

Disclosure: Nothing to disclose.

Michael A Grosso, MD Consulting Staff, Department of Cardiothoracic Surgery, St Francis Hospital

Michael A Grosso, MD is a member of the following medical societies: American College of Surgeons, Society of Thoracic Surgeons, and Society of University Surgeons

Disclosure: Nothing to disclose.

Barry D Mann, MD Program Director, Associate Professor, Department of Surgery, Division of General Surgery, MCP Hahnemann University

Barry D Mann, MD is a member of the following medical societies: Alpha Omega Alpha, American Association for Cancer Education, American College of Surgeons, American Society of Bariatric Physicians, Association for Surgical Education, Society for Surgery of the Alimentary Tract, and Society of Surgical Oncology

Disclosure: Nothing to disclose.

Elisa A Stein, MD Staff Physician, Department of Surgery, Drexel University College of Medicine, Hahnemann University Hospital

Elisa A Stein, MD is a member of the following medical societies: American College of Physicians, American Medical Association, American Medical Student Association/Foundation, American Medical Women's Association, and Philadelphia County Medical Society

Disclosure: Nothing to disclose.

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