title: Aetiological spectrum of benign gastric outlet obstruction in India: new trends.
abstract: There is a paucity of data on the spectrum of benign gastric outlet obstruction in India. Our aim was to evaluate its spectrum and to identify the subgroup which would be most amenable to endoscopic therapy. We studied 64 patients whose aetiology revealed in approximately equal proportions: corrosive injury; gastroduodenal tuberculosis (TB); and peptic ulcer disease. The median number of endoscopic dilations required was two for TB, four for peptic ulcer disease and five for corrosive injury. Gastroduodenal TB and corrosive injury appear now to be more, or at least as, common as peptic ulcer disease as causes of benign gastric outlet obstruction in India. Gastroduodenal TB responds best to endoscopic therapy.
authors.affiliation: Senior Resident, Department of Gastroenterology, GB Pant Hospital, New Delhi, India.
authors.forename: Sudhir
authors.initials: S
authors.lastname: Maharshi
authors.affiliation: Director Professor, Department of Gastroenterology, GB Pant Hospital, New Delhi, India amarender.puri@gmail.com.
authors.forename: Amarender Singh
authors.initials: AS
authors.lastname: Puri
authors.affiliation: Professor, Department of Gastroenterology, GB Pant Hospital, New Delhi, India.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Sachdeva
authors.affiliation: Assistant Professor, Department of Gastroenterology, GB Pant Hospital, New Delhi, India.
authors.forename: Ajay
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Senior Resident, Department of Gastroenterology, GB Pant Hospital, New Delhi, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Dalal
authors.affiliation: Senior Resident, Department of Gastroenterology, GB Pant Hospital, New Delhi, India.
authors.forename: Manish
authors.initials: M
authors.lastname: Gupta
mesh_terms: D000328:Adult; D000368:Aged; D002424:Caustics / Q000009:adverse effects*; D005260:Female; D017219:Gastric Outlet Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications*; D011446:Prospective Studies; D011707:Pyloric Stenosis / Q000150:complications*; D013270:Stomach / Q000293:injuries*
chemical_list: D002424:Caustics
keywords: Stomach; corrosive; endoscopic dilation; gastric outlet obstruction; peptic ulcer disease; tuberculosis (TB)