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Reminder of important clinical lesson
A reminder of the classical biochemical sequelae of adult gastric outlet obstruction
  1. Jawad Ahmad,
  2. Stacey Thomson,
  3. Mark Taylor,
  4. Julie Scoffield
  1. Department of Surgery, Mater Hospital Belfast, Belfast, UK
  1. Correspondence to Jawad Ahmad, jawad.ahmad{at}hotmail.co.uk

Summary

The commonest cause of gastric outlet obstruction (GOO) is pyloric stenosis secondary to peptic ulcer disease or gastric carcinoma. Patients with GOO have unique metabolic sequelae, namely hypochloraemic, hypokalaemic metabolic alkalosis with paradoxical aciduria and hypocalcaemia. A case of a patient presenting as GOO is discussed. The aim of this report is to highlight the metabolic abnormalities and management in patients with GOO.

https://doi.org/10.1136/bcr.05.2010.2978

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.