Skip to main content

Gastric outlet obstruction, another case by Dr. Siddique Akbar Satti

Dr. Siddique Akbar satti has been explaining various causes of gastric outlet obstruction, this case is the continuation of his current subject.


This is the case of 76 year old male with past medical history of hypertension and Acid peptic disease presented to the outpatient department of Capital Hospital Islamabad complaining of dyspepsia, early satiety, weight loss since last 3 months and vomiting if he tries to eat more. Lab studies and abdominal ultrasound were unremarkable. All these symptoms in view of his age and previous history of APD suggest that there could be some stricture or growth around gastric outlet, so in order to confirm that Dr. Siddique Akbar Satti went for upper GI endoscopy which was done on 6/4/15. He got the following picture of this old gentle man.


Upper GI endoscopy showing gastric outlet obstruction by dr. siddique akbar satii  Upper GI endoscopy showing growth around pylorus Dr siddique akbar satti medicotips
Closer view of gastric outlet obstruction by dr siddique akbar satti

Dr. S A Satti writes in his report, “There is a Polypoidal growth in the duodenum bulb causing obstruction in the passage of D2. There is patchy ulceration with mucosal friability and contact bleeding in the covering mucosa of the growth. Multiple biopsies taken from the Polypoidal growth.

The biopsy report is awaited. This is another cause of gastric outlet obstruction or pyloric stenosis.


Dr. Siddique Akbar Satti Of Capital Hospital Islamabad


Special Thanks

Dr. Siddique Akbar Satti, Head Department of Medicine, Capital Hospital Islamabad, who is also an honorable member of Editorial Board of

Popular posts from this blog

Human Parasites, Types of Parasites, and Classification

Parasite: A parasite is a living organism which gets nutrition and protection from another organism where it lives. Parasites enter into the human body through mouth, skin and genitalia. In this article, we will generally discuss the types and classification of parasites. It is important from an academic point of view. Those parasites are harmful, which derives their nutrition and other benefits from the host and host get nothing in return but suffers from some injury. Types of Parasites Ecto-parasite: An ectoparasite lives outside on the surface of the body of the host. Endo-parasite: An endo-parasite lives inside the body of the host, it lives in the blood, tissues, body cavities, digestive tract or other organs. Temporary parasite: A temporary parasite visits its host for a short period of time. Permanent parasite: Permanent parasite lives its whole life in the host. Facultative parasite: A facultative parasite can live both independently and dependently. It lives in the

How to taper off, wean off beta blocker, atenolol, Propranolol, Metoprolol

Beta blockers include, atenolol (Tenormin), propranolol (Inderal ) and metoprolol (Lopressor) and are used to treat high blood pressure, certain cardiac problems, migraine and few other conditions. People usually take atenolol, propranolol or metoprolol for many years as a treatment of high blood pressure or after having an episode of heart attack . Sometimes, it becomes necessary to withdraw these beta blockers due to their potential side effects that trouble the patients or sometimes doctor wants to change the drug and shift the patient to some other anti-hypertensive medicine. No matter whatever the cause is, whenever, a patient who has been using a beta blocker for a long period of time, and he needs to be stopped from further usage of that beta blocker, must not stop taking it. One should taper off the dose of a beta blocker. Now a question arises how to wean off or taper off a beta blocker? The method of tapering off beta blocker varies from individual to individual. Allow you

Difficulty in standing up from a sitting or squatting position, Causes & Solution

People who feel it difficult to stand up from a sitting or squatting position may have problem in one or more of the following structures. 1. Knee joint 2. Muscles of legs, thighs or buttock 3. Muscles of arms 4. Cerebellum Let’s now explain one by one, what kind of problems in above structures may cause difficulty in standing up from a sitting or squatting position. 1. How do problems in knee joints lead to difficulty in standing up? Knee joint is one of the primary and most affected joint that takes part in standing up. Other joints that take part are hip, ankle, knee, elbow, wrist and shoulder joint. Knee joint gets the most strain , and also knee joint is comparatively less supported. That’s why usually it’s the knee joint that starts to cry first because of arthritis. Knee joint arthritis causes long term knee pain , that makes the movement difficult at knee joint. Arthritis also makes the knee joint stiffer and slower and its range of motion also decreases. All these affects coll