Minimally Invasive Management of Obstructive Gastroduodenal Tuberculosis

2005 ◽  
Vol 71 (8) ◽  
pp. 698-700 ◽  
Author(s):  
James Padussis ◽  
Brett Loffredo ◽  
David Mcaneny
Keyword(s):  
Minimally Invasive ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Gi Tract ◽  
Urban Centers ◽  
Ileocecal Region ◽  
Invasive Approach ◽  
Surgical Bypass ◽  
Gastroduodenal Tuberculosis ◽  
Invasive Management

Pulmonary tuberculosis (TB) is prevalent in Western urban centers, especially among immuno-compromised patients and immigrants. However, TB enteritis is a rare sequela, occurring in less than 1 per cent of this population. Tuberculosis may affect any portion of the gastrointestinal (GI) tract, and 85 per cent of cases manifest in the ileocecal region. However, the stomach and duodenum are involved in just 0.3–2.3% of TB cases that affect the gut. Gastric outlet obstruction due to TB has been traditionally treated by a surgical bypass operation, followed by anti-TB chemotherapy. In a recent review of 17 cases of TB-related gastric outlet obstruction, gastrojejunostomy or duodenojejunostomy was performed in all patients. We present a case of gastric outlet obstruction due to TB that was treated successfully with a minimally invasive approach, without the need for a gastric bypass.

scholarly journals Gastroduodenal Tuberculosis: A Case Series and Review of Literature

2018 ◽  
Vol 11 ◽  
pp. 117955221879056 ◽  
Author(s):  
Suhas Udgirkar ◽  
Ravindra Surude ◽  
Vinay Zanwar ◽  
Sanjay Chandnani ◽  
Qais Contractor ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Case Series ◽  
Antitubercular Drug ◽  
Review Of Literature ◽  
Gastrointestinal Involvement ◽  
Antitubercular Drugs ◽  
Lymph Node Enlargement ◽  
Gastroduodenal Tuberculosis ◽  
High Degree

Gastroduodenal tuberculosis is infrequently seen in day-to-day clinical practice with few cases reported in the literature. It is usually associated with features of gastric outlet obstruction. This is a case series of 4 patients with 2 of them having associated lower gastrointestinal involvement. One of them resembled a growth in the cardia of the stomach which responded to antitubercular drugs. Another had duodenal erosions with portal lymph node enlargement which responded to antitubercular drug treatment. None of the patients required surgical management. Gastroduodenal tuberculosis should be considered with a high degree of suspicion when patients present with gastric outlet obstruction or with endoscopic evidence of ulceronodular disease in areas endemic for tuberculosis.

scholarly journals Gastric Tuberculosis with Outlet Obstruction: A Case Report Presenting with a Mass Lesion

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Ruth Shifa Ecka ◽  
Zeeshn Ahamad Wani ◽  
Malay Sharma
Keyword(s):  
Pulmonary Tuberculosis ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Immunocompetent Patient ◽  
Ileocecal Region ◽  
Major Health Problem ◽  
Major Health ◽  
Gastric Tuberculosis ◽  
Antitubercular Treatment ◽  
Common Manifestation

Tuberculosis is a major health problem worldwide. In India, it is highly endemic. The most common manifestation is a pulmonary disease, but involvement of the gastrointestinal tract is not uncommon with the ileocecal region being the commonest site. Gastric tuberculosis is rare and usually associated with pulmonary tuberculosis or an immunodeficient state. Here, we report a case of gastric tuberculosis presenting as gastric outlet obstruction in an immunocompetent patient without evidence of pulmonary tuberculosis. Biopsy and PCR confirmed the diagnosis, and the patient responded well to standard antitubercular treatment. Though, gastric tuberculosis is rare, it should be considered as a possibility when patients present with gastric outlet obstruction, particularly in endemic areas with tuberculosis.

scholarly journals Natural history and cost analysis of surgical bypass versus endoscopic stenting for the palliative management of malignant gastric outlet obstruction

HPB ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. 529-536 ◽  
Author(s):  
Alexander V. Fisher ◽  
Bret Hanlon ◽  
Sara Fernandes-Taylor ◽  
Jessica R. Schumacher ◽  
Elise H. Lawson ◽  
...  
Keyword(s):  
Natural History ◽  
Cost Analysis ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Endoscopic Stenting ◽  
Malignant Gastric Outlet Obstruction ◽  
Surgical Bypass

scholarly journals Malignant Gastric Outlet Obstruction Caused by Duodenal Cervix Metastasis in a Young Woman: Rendezvous Technique

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 765
Author(s):  
Ester Marra ◽  
Pasquale Quassone ◽  
Pasquale Tammaro ◽  
Cinzia Cardalesi ◽  
Raffaele D’Avino ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Symptom Relief ◽  
Surgical Techniques ◽  
Outlet Obstruction ◽  
Endoscopic Drainage ◽  
Invasive Approach ◽  
Less Invasive ◽  
Malignant Gastric Outlet Obstruction ◽  
Rendezvous Technique ◽  
Duodenal Stricture

Background: Malignant gastric outlet obstruction (MGOD) is an extremely rare expression of advanced extra-gastrointestinal cancer, such as squamous cell carcinoma (SCC) of the cervix, and only sixcases are described in the literature.Because of the short life expectancyand the high surgical risk involving these patients, less invasive approaches have been developed over time, such asthe use of an enteral stent or less invasive surgical techniques (i.e., laparoscopic gastrojejunostomy). However, MGOD could make it difficult to perform an endoscopic retrograde cholangio-pancreatography (ERCP) for standard endoscopic drainage, so in this case a combined endoscopic-percutaneous technique may be performed. This article, therefore, aims to highlight the presence in the doctor’s armamentarium of the “rendezvous technique”, few case reports of whichare described in the literature, and, moreover, this article aims to underline the technique’sfeasibility. Case Presentation: The case is that of a 38-year-old woman who presented with MGOD three years after the diagnosis of SCC of the cervix, who successfully underwent the rendezvous technique with the resolution of duodenal obstruction. Endoscopic enteral stenting treatment with the placement of a metal stent (SEMSs) represents the mainstay of MGOD treatment compared withsurgery due to its lower morbidity, mortality, shorter hospitalization and earlier symptom relief. However, in patients with both duodenal and biliary obstruction, a combined endoscopic–percutaneous approach may be necessary because of the difficulty in passing the duodenal stricture or in accessing the papilla through the mesh of the duodenal SEMS. Conclusion: The rendezvous procedure is a technicallyfeasible and minimally invasive approach to the double stenting of biliary and duodenal strictures. It achieves the desired therapeutic result while avoiding the need to perform more invasive procedures that could have a negative impact on the patient’sprognosis.

A Comparative Study of Stenting versus Surgical Bypass in Gastric Outlet Obstruction Caused by Gastric Cancer

2007 ◽  
Vol 7 (2) ◽  
pp. 82 ◽  
Author(s):  
Seung Jin Jo ◽  
Ki Young Yoon ◽  
Kyung Hyun Choi ◽  
Moo In Park ◽  
Seun Ja Park ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Comparative Study ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Surgical Bypass
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