Abstract

Gastric outlet obstruction implies a complete or incomplete obstruction of the distal stomach, pylorus or proximal duodenum. This retrospective study was carried out in Al-gamhuria Modern General Hospital, Aden, between January 2004 and December 2013, to highlight the etiological spectrum, diagnostic tools, management and outcome. Males are more often affected, with a male to female ratio 4.1:1. The mean age was 42.38 ± 13.71, years while in children the mean age was 2.11 ± 2.83 months. The most common clinical presentation was non-bilious vomiting-56 (100%). The etiology was benign in majority [52 (92.9%)] and gastric cancer was the only malignant etiology [4 (7.1%)]. Hypertrophic pyloric stenosis [35 (62.5%)] was the commonest etiology in children, while peptic ulcer disease was 7 (12.5%) in adult. Abdominal ultrasound [42 (75%)] and upper gastrointestinal endoscopy [11 (19.6%)] was the common diagnostic procedures. The common surgical procedures performed were pyloromyotomy 35 (67.3%) , gastrojejunostomy and pyloroplasty each of them had the same frequency 6 (11.5%). The mortality rate was 3 (5.3%). In conclusion, gastric outlet obstruction is still remaining a surgical problem in our situation, since determining the underlying pathology needs early appropriate imagining studies and timely surgical intervention to avoid mortality.