Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions

Douglas G. Adler, MD

Question 9: What Options Exist For Patients With Gastric Outlet Obstruction From Gastric Cancer? (continued)

Andrew Singleton, MD; Robert E. Glasgow, MD

The patient with obstructing gastric cancer can be a difficult challenge for the practicing gastroenterologist. This chapter will review the medical, endoscopic, and surgical options for relieving obstruction. The differential diagnosis for malignant gastric outlet obstruction includes primary gastric malignancies (adenocarcinoma, lymphomas, gastrointestinal stromal tumors, and carcinoid) and perigastric or periampullary malignancies (pancreatic, duodenal, or ampullary adenocarcinoma, cholangiocarcinoma, extragastric lymphomas, and perigastric metastases) as well as several benign conditions…