A young male with GOO

A male aged 35 years who is a k/c/o CP (Alcoholic) Chief Complaints Perisistent Vomitings Small Volume, Post prandial Post Enteral SEMS (Vomitings not relieved) (x 1 month) Investigations UGIE

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Multiple nodular swellings with oesophageal congestion at lower end Big polyp is also noted Likely chr oesophageal polyps ?malignancy

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Improvised treatment modalities like endoscopic balloon dilatation and endoscopic incision have circumvented the use of surgery which was the gold standard for management of gastric outlet obstruction. Newer modalities like biodegradable stents have an upcoming role in the managemen

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Evaluate for etiology of Obstruction. Dilatation, biopsy HPE if indicated.

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NEEDS BIOPSY.. AND ... P P I s... CHANGES. IN. LIFE. STYLE AND. DIET...

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? OESOPHAGEAL PATHOLOGY.. ? MALIGNANCY.. NEED'S.. HISTOPATHOLOGICAL STUDY..

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? Malignancy Ad Biopsy for HPE

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Advicé biopsy

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Oesophageal polyp. Carcinoma. Biopsy study. Gastroenterologists opinion.

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req. Biopsy consult to oncologist

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