What are the symptoms of gastric outlet obstruction?

Symptoms of gastric outlet obstruction include nausea, nonbilious vomiting, epigastric pain, early satiety, abdominal distention, and weight loss.

What is the treatment of gastric outlet obstruction?

Treatment of GOO depends on the underlying cause: Proton pump inhibitors, H. pylori eradication, endoscopic treatments including balloon dilatation or the placement of self-expandable stents, or surgery. Core tip: The causes of gastric outlet obstruction are generally divided into benign and malignant.

What clinical signs are found in an infant with pyloric stenosis?

Signs include:

  • Vomiting after feeding. The baby may vomit forcefully, ejecting breast milk or formula up to several feet away (projectile vomiting).
  • Persistent hunger. Babies who have pyloric stenosis often want to eat soon after vomiting.
  • Stomach contractions.
  • Dehydration.
  • Changes in bowel movements.
  • Weight problems.

What causes gastric outlet obstruction?

Gastric outlet obstruction (GOO) is a result of any disease process that causes a mechanical impediment to gastric emptying. It can be caused by mechanical causes as well as motility disorders and typically is associated with abdominal pain, postprandial vomiting, early satiety, and weight loss.

What is infantile pyloric stenosis?

Infantile hypertrophic pyloric stenosis (IHPS) is a disorder of young infants caused by hypertrophy of the pylorus, which can progress to near-complete obstruction of the gastric outlet, leading to forceful vomiting.

What is the treatment for pyloric obstruction?

Pyloromyotomy. In surgery to treat pyloric stenosis (pyloromyotomy), the surgeon makes an incision in the wall of the pylorus. The lining of the pylorus bulges through the incision, opening a channel from the stomach to the small intestine. Surgery is needed to treat pyloric stenosis.

Is gastric outlet obstruction a diagnosis?

Gastric outlet obstruction can be a diagnostic and treatment dilemma. Despite medical advances in the acid suppression mechanism, the incidence of GOO remains a prevalent clinical problem in benign PUD.

How is pyloric stenosis diagnosed newborn?

Blood tests to check for dehydration or electrolyte imbalance or both. Ultrasound to view the pylorus and confirm a diagnosis of pyloric stenosis. X-rays of your baby’s digestive system, if results of the ultrasound aren’t clear.

How is pyloric obstruction diagnosed?

How is Pyloric Stenosis Diagnosed?

  1. Blood tests. These tests evaluate dehydration and mineral imbalances.
  2. Abdominal X-rays. A diagnostic test that uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.
  3. Abdominal ultrasound.
  4. Barium swallow/upper GI series.

What is the difference between gastric outlet obstruction and pyloric stenosis?

Pyloric stenosis is a narrowing of the pylorus, the opening from the stomach, into the small intestine. This type of blockage is also referred to as a gastric outlet obstruction. Normally, food passes easily from the stomach into the duodenum through a valve called the pylorus.