TTP7.09 Outcomes of surgical gastrojejunostomy for gastric outlet obstruction in an emergency general surgery unit

Aims Gastrojejunostomy is a well-established procedure for managing gastric outlet obstruction, however there is limited data on outcomes in the emergency setting. This study evaluated the outcomes of patients presenting to a district hospital emergency surgery unit with gastric outlet obstruction who underwent surgical gastrojejunostomy between 2011 and 2024. Methods Eligible patients were identified from operating theatre records. Data was collected from medical notes, including demographics, aetiology, postoperative outcomes, length of stay, and survival. Groups were compared with Mann-Whitney U tests and survival analysis was performed with the Kaplan–Meier method. Results Sixteen patients were included. Median age was 76 years, 75% were male, and 75% had malignant aetiology. The most common malignancy was pancreatic adenocarcinoma (n=5), while the most common benign aetiology was peptic stricture (n=3). Surgery was performed laparoscopically in 75% of cases. All patients successfully resumed oral intake postoperatively. The median postoperative stay was 10.5 days (IQR 9.75) for the malignant group and 12 days (IQR 10.75) for the benign group (p = 0.90). There were no 30-day readmissions. Nine of 12 cancer patients were referred on for palliative chemotherapy. Median survival was 4.5 months in the malignant group (IQR 2 – 6 months). One patient was still alive 25 months post-procedure. In the benign group, median survival was not reached. Conclusions Emergency gastrojejunostomy is an effective technique for managing gastric outlet obstruction in an emergency general surgery unit. It enables resumption of oral intake, discharge for palliative chemotherapy and extended survival in selected cases.