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Journal of Gastronenterology and Digestive Diseases
|
Volume 3
J u n e 2 5 - 2 6 , 2 0 1 8 | D u b l i n , I r e l a n d
GASTROENTEROLOGY
International Conference on
CLINICAL FEATURES OF GASTRIC OUTLET OBSTRUCTION IN
KIGALI, RWANDA
P Kamali
and
E Kabuyaya S Benson
Centre Hospitalier University, Rwanda
Background:
In developed countries, the main cause of Gastric Outlet Obstruction (GOO) is malignancy. However, the benign
causes continue to be the major cause of GOO in the developing world, but there is growing evidence proving the contrary. There
is no data of GOO from Rwanda.
Aims:
A retrospective analysis of the endoscopic findings of patients presenting with features of GOO to determine the
demographic and etiological patterns.
Materials & Methods:
A retrospective study of the endoscopic findings of patients with GOO from January 2013 to January 2015
was done. The diagnosis of GOO was based on clinical presentation, and an inability during the upper endoscopy to enter the
second portion of the duodenum as documented in the endoscopy registers. Patients who have already been diagnosed with
malignancy prior to the endoscopy were excluded from the study; so were the patients with gastroparesis.
Results:
A total of 250 patients with GOO underwent the endoscopy during the study period. 180 were had benign GOO, while
malignancy was present in 30 patients, others were with different findings. The causes for benign obstruction were predominantly
peptic ulcer disease. The major cause for malignant obstruction was carcinoma of stomach involving the distal stomach. The
male to female ratio was 3.2:1. The patients with malignancy were older than patients with benign disorders. Most of the patients
were in the fifth and sixth decade. The risk of malignancy was higher with increasing age, especially in women. A third of all
carcinoma stomach presented with GOO.
Conclusion:
The study demonstrates that the cause for GOO in Kigali, Rwanda is predominantly benign.
pakamali@yahoo.frJ Gastroenterol Dig Dis 2018, Volume 3