A novel endoscopic-guided decompression method improves outcomes in patients with gastric outlet obstruction, indicating its potential benefit for similar cases.
A 74-year-old woman with a history of esophagectomy/intrathoracic stomach (15 years prior) and recent retroperitoneal tumor resection (3 months prior) presented with shock, respiratory failure, and massive abdominal distension. Computed tomography (CT) revealed severe dilation of the intrathoracic stomach, which contained voluminous food debris/bezoars, causing near-total right lung collapse and apparent gastric outlet obstruction. Physical examination exhibited altered mental status, malnutrition (body mass index 16.4 kg/m2), tachycardia, tachypnea, and hypotension despite administration of 30 mL/h of metaraminol. Standard decompression, prokinetics, and conventional endoscopy failed due to complete luminal occlusion and aspiration risk [1]. Hemodynamic instability persisted despite vasopressors.
No takes yet. Share an insight, caveat, or question.
Wu et al. (2025) studied this question.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: