Title: Observation of Serum Electrolytes and Nutritional Status in Patients with Gastric Outlet Obstruction Both Pre and Post Operative Status
Authors: Dr Sanjay Kujur, Dr Jitendra Kumar Sahu, Dr Achuytananda Beher
DOI: https://dx.doi.org/10.18535/jmscr/v6i3.197
Abstract
Introduction
Gastric outlet obstruction which was previously known as pyloric stenosis is not a single entity ,it is the clinical and path physiological consequence of any disease process that produces a mechanical impediment to gastric emptying. Gastric outlet obstruction implies complete or incomplete obstruction of distal stomach, pylorus or proximal duodenum. This may occur as an obstructing mass lesion, external compression or as result of obstruction from acute edema, chronic scarring or fibrosis or combination of both.
Due to continuous loss of gastric juice during vomiting a gross degree of electrolyte imbalance is expected. These patients with gastric outlet obstruction are also malnourished because nutrients are deprived of their exposure to main digestive and absorptive areas as very less amount of nutrients pass beyond pylorus. These patients frequently avoid taking food as there is unpleasant fullness of stomach after taking food.
References
- Jaka H, Mchembe MD, Rambau PF, Chalya PL: Gastric outlet obstruction at Bugando Medical Centre in Northwestern Tanzania: a prospective review of 184 cases. BMC Surg 2013; 13(41):1-8.
- Ranka K, Jain R, Jhanwar A: Gastric outlet obstruction in adults: A prospective study in tertiary care hospital of Karnataka: J Pharm Biomed Sci: 2013; 32(32): 1282-1286.
- Studley HO. Percentage of weight loss: a basic indicator of surgical risk in patients with chronic peptic ulcer. JAMA. 1936; 106:458–460.
- Mullen J L, Gertner M H, Buzby G P. Implications of Malnutrition in the Surgical Patient. Arch Surg. 1979; 114(2):121-125.
- Lans HS, Stein Jr. IF, Meyer KA, Electrolyte abnormalities in pyloric obstruction resulting from peptic ulcer or gastric carcinoma. Annals Surg 1952; 135(4): 441-453
- Kaushik S P, Mose. Gastric outlet obstruction in adults. Ind j. Surg. 1976;89:491
- Howe C T, Le quesne L P. Pyloric stenosis: The metabolic effects. Brit. J. Surg. 1964; 51: 923-932