What is Gastric Outlet Obstruction?
Gastric Outlet Obstruction - Treatment by Dr. Vikram Lotwala
Gastric Outlet Obstruction (GOO) is a condition where the passage between the stomach and the small intestine becomes blocked, preventing the normal movement of food and fluids. This blockage can lead to symptoms such as nausea, vomiting, abdominal pain, and weight loss. GOO can be caused by various factors, including peptic ulcers, tumors, chronic inflammation, or post-surgical scarring.
Causes of Gastric Outlet Obstruction
Peptic Ulcer Disease – Long-standing ulcers in the stomach or duodenum can cause swelling and scarring, leading to obstruction.
Gastric or Duodenal Tumors – Cancerous or benign growths can narrow the gastric outlet.
Chronic Inflammation – Conditions like Crohn’s disease can lead to thickening of the stomach lining, restricting the passage of food.
Post-Surgical Scarring – Scar tissue formation after stomach or duodenal surgery can contribute to obstruction.
Foreign Bodies or Bezoars – Ingested objects or masses of undigested material can lead to blockages.
Symptoms of Gastric Outlet Obstruction
Persistent nausea and vomiting
Abdominal pain and bloating
Early satiety (feeling full quickly)
Unexplained weight loss
Dehydration and electrolyte imbalance
Diagnosis
Dr. Vikram Lotwala specializes in diagnosing Gastric Outlet Obstruction using advanced medical techniques such as:
Endoscopy (EGD) – A flexible camera is used to visualize the obstruction.
Barium Swallow X-ray – A contrast X-ray study to identify blockage in the digestive tract.
CT Scan or MRI – Imaging studies help assess the extent and cause of the obstruction.
Blood Tests – To check for anemia, infection, or metabolic imbalances caused by vomiting and dehydration.
Treatment Options
The treatment of GOO depends on the underlying cause and severity of the obstruction. Dr. Vikram Lotwala offers a range of effective treatment options, including:
Non-Surgical Treatments
Medications – Proton pump inhibitors (PPIs) and anti-inflammatory drugs can help manage symptoms caused by ulcers.
Endoscopic Balloon Dilation – A minimally invasive procedure to widen the narrowed passage using an inflatable balloon.
Stenting – Inserting a stent to keep the passage open, particularly for patients with tumors.
Surgical Treatments
Pyloroplasty – Surgical widening of the gastric outlet to allow better passage of food.
Gastrojejunostomy – A bypass procedure to create a new connection between the stomach and small intestine.
Tumor Resection – Surgical removal of tumors causing obstruction.
Why Choose Dr. Vikram Lotwala?
Dr. Vikram Lotwala is a highly experienced specialist in gastrointestinal disorders, providing comprehensive and personalized care. With expertise in advanced endoscopic and surgical procedures, he ensures the best treatment approach tailored to each patient’s needs. His patient-centered approach focuses on accurate diagnosis, effective management, and long-term relief.
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If you or a loved one is experiencing symptoms of Gastric Outlet Obstruction, early diagnosis and treatment can improve quality of life and prevent complications. Contact Dr. Vikram Lotwala today to schedule a consultation and receive expert gastrointestinal care.
