Coskun Selcuk, Soylu Lutfi, Sahin Mahir, Demiray Taylan
Department of Emergency Medicine, TOBB-ETU Hospital, Ankara, Turkey.
Department of General Surgery, Ankara Guven Hospital, Ankara, Turkey.
Asian J Surg. 2015 Apr;38(2):117-9. doi: 10.1016/j.asjsur.2012.11.002. Epub 2013 Feb 20.
The most common causes of acute gastric outlet obstruction (GOO) are duodenal and type 3 gastric ulcers. However, mechanical or functional causes may also lead to this pathology. Acute GOO is characterized by delayed gastric emptying, anorexia, or nausea accompanied by vomiting. Herein we report a 56-year-old man diagnosed with GOO secondary to paraesophageal hiatal herniation of gastric antrum after laparoscopic fundoplication. Because of the rarity of this disease, common gastrointestinal complaints may mislead the emergency physician to diagnose a nonsurgical gastrointestinal disease if a detailed history and physical examinations are not obtained.
急性胃出口梗阻（GOO）最常见的病因是十二指肠溃疡和3型胃溃疡。然而，机械性或功能性病因也可能导致这种病理状况。急性GOO的特征是胃排空延迟、厌食或恶心并伴有呕吐。在此，我们报告一名56岁男性，在腹腔镜胃底折叠术后被诊断为继发于胃窦食管旁裂孔疝的GOO。由于这种疾病罕见，如果未获取详细病史和进行体格检查，常见的胃肠道症状可能会误导急诊医生诊断为非手术性胃肠道疾病。
