title: Gastrojejunostomy for pyloric stenosis after acute gastric dilatation due to overeating.
abstract: A 34-year-old woman presented at our hospital with abdominal 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.
authors: Akiharu Kimura, Norihiro Masuda, Norihiro Haga, Tomokazu Ito, Kichirou Otsuka, Jyunko Takita, Hitoshi Satomura, Yuji Kumakura, Department of Surgery, Utsunomiya National Hospital, Tochigi 329-1193, Japan.
authors: Akiharu
authors: A
authors: Kimura
authors: Akiharu Kimura, Norihiro Masuda, Norihiro Haga, Tomokazu Ito, Kichirou Otsuka, Jyunko Takita, Hitoshi Satomura, Yuji Kumakura, Department of Surgery, Utsunomiya National Hospital, Tochigi 329-1193, Japan.
authors: Norihiro
authors: N
authors: Masuda
authors: Akiharu Kimura, Norihiro Masuda, Norihiro Haga, Tomokazu Ito, Kichirou Otsuka, Jyunko Takita, Hitoshi Satomura, Yuji Kumakura, Department of Surgery, Utsunomiya National Hospital, Tochigi 329-1193, Japan.
authors: Norihiro
authors: N
authors: Haga
authors: Akiharu Kimura, Norihiro Masuda, Norihiro Haga, Tomokazu Ito, Kichirou Otsuka, Jyunko Takita, Hitoshi Satomura, Yuji Kumakura, Department of Surgery, Utsunomiya National Hospital, Tochigi 329-1193, Japan.
authors: Tomokazu
authors: T
authors: Ito
authors: Akiharu Kimura, Norihiro Masuda, Norihiro Haga, Tomokazu Ito, Kichirou Otsuka, Jyunko Takita, Hitoshi Satomura, Yuji Kumakura, Department of Surgery, Utsunomiya National Hospital, Tochigi 329-1193, Japan.
authors: Kichirou
authors: K
authors: Otsuka
authors: Akiharu Kimura, Norihiro Masuda, Norihiro Haga, Tomokazu Ito, Kichirou Otsuka, Jyunko Takita, Hitoshi Satomura, Yuji Kumakura, Department of Surgery, Utsunomiya National Hospital, Tochigi 329-1193, Japan.
authors: Jyunko
authors: J
authors: Takita
authors: Akiharu Kimura, Norihiro Masuda, Norihiro Haga, Tomokazu Ito, Kichirou Otsuka, Jyunko Takita, Hitoshi Satomura, Yuji Kumakura, Department of Surgery, Utsunomiya National Hospital, Tochigi 329-1193, Japan.
authors: Hitoshi
authors: H
authors: Satomura
authors: Akiharu Kimura, Norihiro Masuda, Norihiro Haga, Tomokazu Ito, Kichirou Otsuka, Jyunko Takita, Hitoshi Satomura, Yuji Kumakura, Department of Surgery, Utsunomiya National Hospital, Tochigi 329-1193, Japan.
authors: Yuji
authors: Y
authors: Kumakura
authors: Akiharu Kimura, Norihiro Masuda, Norihiro Haga, Tomokazu Ito, Kichirou Otsuka, Jyunko Takita, Hitoshi Satomura, Yuji Kumakura, Department of Surgery, Utsunomiya National Hospital, Tochigi 329-1193, Japan.
authors: Hiroyuki
authors: H
authors: Kato
authors: Akiharu Kimura, Norihiro Masuda, Norihiro Haga, Tomokazu Ito, Kichirou Otsuka, Jyunko Takita, Hitoshi Satomura, Yuji Kumakura, Department of Surgery, Utsunomiya National Hospital, Tochigi 329-1193, Japan.
authors: Hiroyuki
authors: H
authors: Kuwano
mesh_terms: D000208:Acute Disease; D000328:Adult; D002032:Bulimia / Q000150:complications*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D015390:Gastric Bypass; D013271:Gastric Dilatation / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D011237:Predictive Value of Tests; D011707:Pyloric Stenosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012307:Risk Factors; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Acute gastric dilatation; Bulimia; Gastric necrosis; Gastric perforation; Gastrojejunostomy; Pyloric stenosis