Overview of Gastric Outlet Obstruction Surgical Treatment

Fahad Talal Alsulami, Abdulrahman Jamal Mumin Khan, Alwaleed Fahad Altemani, Yazeed Fahad Altemani, Hani Saeed Alzahrani, Sara Fahad Altemani, Mohamed Sayed, Abdullah Abdulaziz Abdullah Alshehri, Abduldaim Fahad Alkhraiji

Abstract: Gastric outlet obstruction (GOO) is an acknowledged complication of malignancies of the upper intestinal (UGI) system. The most common causes are gastric and pancreatic malignancies, with lymphomas, ampullary carcinomas, biliary tract cancers and metastases likewise contributing. A comprehensive review aiming to evaluate the different surgical procedures that can be performed in the treatment of Gastric outlet obstruction (GOO), we used the literature to evaluate and compare these surgical procedures, through evidence based trails. A comprehensive search for relevant literature clinical trials was undertaken by searching electronic databases (MEDLINE, Embase, Cochrane, Scopus, LILACS, BVS and CINAHL) up to January 2017. Decisions concerning the use of surgical verses endoscopic procedures for GOO need the highest level of surgical judgment. Physicians needs to think about the private patient’s quality and expectancy of life, the prognosis of the disease, the availability and the success of each treatment option. GOO can be successfully dealt with by both gastrojejunostomy and stenting. Gastrojejunostomy seems associated with better long term outcomes while stenting seems related to better short term outcomes. New laparoscopic procedures and new technologies in endoscopic stents will likely continue to change the treatment recommendations for GOO. Keywords: Gastric outlet obstruction (GOO), gastric and pancreatic malignancies, with lymphomas, ampullary carcinomas, biliary tract cancers and metastases likewise contributing. Title: Overview of Gastric Outlet Obstruction Surgical Treatment Author: Fahad Talal Alsulami, Abdulrahman Jamal Mumin Khan, Alwaleed Fahad Altemani, Yazeed Fahad Altemani, Hani Saeed Alzahrani, Sara Fahad Altemani, Mohamed Sayed, Abdullah Abdulaziz Abdullah Alshehri, Abduldaim Fahad Alkhraiji International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Research Publish Journals

Vol. 4, Issue 2, October 2016 – March 2017

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Overview of Gastric Outlet Obstruction Surgical Treatment by Fahad Talal Alsulami, Abdulrahman Jamal Mumin Khan, Alwaleed Fahad Altemani, Yazeed Fahad Altemani, Hani Saeed Alzahrani, Sara Fahad Altemani, Mohamed Sayed, Abdullah Abdulaziz Abdullah Alshehri, Abduldaim Fahad Alkhraiji