Gastrojejunostomy for pyloric stenosis after acute gastric dilatation due to overeating

A 34-year-old woman presented at our hospital withabdominal distention due to overeating.Acute gastric dilatation was diagnosed.The patient was hospitalized,and nasogastric decompression was initiated.On hospitalization day 3,she developed shock,and her respiratory state deteriorated,requiring intub...

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Veröffentlicht in:World journal of gastroenterology : WJG 2015-02, Vol.21 (5), p.1670-1674
Hauptverfasser: Kimura, Akiharu, Masuda, Norihiro, Haga, Norihiro, Ito, Tomokazu, Otsuka, Kichirou, Takita, Jyunko, Satomura, Hitoshi, Kumakura, Yuji, Kato, Hiroyuki, Kuwano, Hiroyuki
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container_issue 5
container_start_page 1670
container_title World journal of gastroenterology : WJG
container_volume 21
creator Kimura, Akiharu
Masuda, Norihiro
Haga, Norihiro
Ito, Tomokazu
Otsuka, Kichirou
Takita, Jyunko
Satomura, Hitoshi
Kumakura, Yuji
Kato, Hiroyuki
Kuwano, Hiroyuki
description A 34-year-old woman presented at our hospital withabdominal distention due to overeating.Acute gastric dilatation was diagnosed.The patient was hospitalized,and nasogastric decompression was initiated.On hospitalization day 3,she developed shock,and her respiratory state deteriorated,requiring intubation and mechanical ventilation.Nasogastric decompression contributed to the improvement in her clinical condition.She was discharged 3 mo after admission.During outpatient follow-up,her dietary intake decreased,and her body weight gradually decreased by 14 kg.An upper gastrointestinal series and endoscopy revealed pyloric stenosis; therefore,we performed gastrojejunostomy 18 mo after her initial admission.The patient was discharged from the hospital with no postoperative complications.Gastric necrosis and perforation due to overeating-induced gastric dilatation are life-threatening conditions.Surgical intervention may be required if delayed pyloric stenosis occurs after conservative treatment.We report a case of pyloric stenosis due to overeating-induced gastric dilatation treated by gastrojejunostomy 18 mo after the initial presentation.
doi_str_mv 10.3748/wjg.v21.i5.1670
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source MEDLINE; Baishideng "World Journal of" online journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects Acute
Acute Disease
Adult
Bulimia - complications
Case Report
dilatation
Bulimia
Pyloric
Endoscopy, Gastrointestinal
Female
gastric
Gastric Bypass
Gastric Dilatation - diagnosis
Gastric Dilatation - etiology
Gastric Dilatation - therapy
Humans
Predictive Value of Tests
Pyloric Stenosis - diagnosis
Pyloric Stenosis - etiology
Pyloric Stenosis - surgery
Risk Factors
stenosis
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
title Gastrojejunostomy for pyloric stenosis after acute gastric dilatation due to overeating
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