Page 43 - tmp

Gastric Outlet Obstruction Secondary to Spasmo-proxyvon Addiction
In their study on endoscopic balloon dilatation therapy, Kochar and J Gastroenterol 2010;29(suppl 1)109–120. DOI: 10.1007/s12664-010-
20
Kochhar have shown that medications-induced strictures are not 0062-8.
only slow to respond but also have the tendency to recur; in our study, 7. Kochar R, Kochhar S. Endoscopic balloon dilation for benign gastric
the mean follow-up was 37.30 months. All the patients had significant outlet obstruction in adults. World J Gastro Endo 2010;2(1): 29–35.
DOI: 10.4253/wjge.v2.i1.29.
improvement in oral intake and weight gain. In our series, gastric 8. Khullar SK, DiSario JA. Gastric outlet obstruction. Gastrointest Endosc
outlet obstruction was secondary to spasmo-proxyvon addiction; Clin North Am 1996;6:585–603. PMID: 8803569.
therefore, we kept the patients on monthly follow-up for initial six 9. Weaver GA, Rebecca LH, James AS, et al. Nonsteroidal anti-
months. Psychiatrist was opined in every visit to ensure compliance inflammatory drugs are associated with gastric outlet obstruction.
of drug abstinence. One of our patients reverted to drug abuse one J Clin Gastroenterol 1995;20(3):196–198. DOI: 10.1097/00004836-
year after surgery, he succumbed to severe anorexia, malnutrition, 199504000-00006.
and generalized anasarca. In our exhaustive review of literature, 10. Majeed S. Ludhiana: Two drug peddlers arrested, intoxicants seized.
we have not encountered any study on surgical management of The Times of India. [Internet]. 2019 Feb 28. Available from: https://
spasmo-proxyvon addiction. To the best of our knowledge, this is timesofindia.indiatimes.com/city/ludhiana/ludhiana-two-drug-
peddlers-arrested-intoxicants-seized/articleshow/68202866.cms.
the first ever study on laparoscopic management of gastric outlet 11. Bloom BS. Cross-national changes in effects of peptic ulcer
obstruction secondary to spasmo-proxyvon addiction. disease. Ann Intern Med 1991;114:558–562. DOI: 10.7326/0003-
4819-114-7-558.
12. Wyman A, Stuart RC, Ng EK, et al. Laparoscopic truncal vagotomy
conclusIon and gastroenterostomy for pyloric stenois. Am J Surg 1996;171:600–
Spasmo-proxyvon abuse-induced gastric outlet obstruction can 603. DOI: 10.1016/s0002-9610(95)00030-5.
be successfully managed with minimally invasive surgical means. 13. Radovanovic N, Simic A, Skrobic O, et al. Highly selective vagotomy
The laparoscopic approach results in good immediate symptomatic and gastrojejunostomy in the treatment of peptic ulcer induced
results and satisfactory long-term outcome. gastric outlet obstruction. Vojnosanit Pregl 2014;71(11):1013–1017.
DOI: 10.2298/VSP1411013R.
14. Csendes A, Malnenda F, Braghetto I, et al. Prospective randomized
study comparing three surgical techniques for the treatment of
references gastric outlet obstruction secondary to duodenal ulcer. Am J Surg
1. Kohli J. Banned capsules being supplied to entire state, raids 1993;166(1):45–49. DOI: 10.1016/s0002-9610(05)80580-x.
in districts likely. Hindustan Times [Internet]. 2014 Jan 31. 15. Kim SM, Song J, Oh SJ, et al. Comparison of laparoscopic truncal vagotomy
Available from: https://www.hindustantimes.com/punjab/banned- with gastrojejunostomy and open surgery in peptic pyloric stenosis. Surg
capsules-being-supplied-to-entire-state-raids-in-districts-likely/ Endosc 2009;23:1326–1330. DOI:10.1007/s00464-008-0160-1.
storykIIBCZAHpNIRFYbuqamATI.html. 16. Rangarajan M, Subramanian CS, Chandralathan TA. Laparoscopic-
2. United Nations Office on Drugs and Crime. Rapid situation and assisted truncal vagotomy with antecolic posterior gastrojejunostomy
response assessment of drugs and HIV in Bangladesh, Bhutan, for benign gastric outlet obstruction. Surg Endosc 2006;20:61–63. DOI:
India, Nepal and Sri Lanka: a regional report [Internet]. 2008 Jun 24. 10.1007/s00464-005-0090-0.
Available from: http://www.unodc.org/pdf/india. 17. Palanivelu C, Jani K, Rajan PS, et al. Laparoscopic management of acid
3. Kozarek RA, Botoman VA, Patterson DJ. Long-term follow-up peptic disease. Surg Laparosc Endosc Percutan Tech 2006;16(5):312–6.
in patients who have undergone balloon dilation for gastric outlet DOI: 10.1097/01.sle.0000213742.70030.96.
obstruction. Gastrointest Endosc 1991;36:558–61. DOI: 10.1016/ 18. Monga R, Tyagi P, Garg S, et al. Endoscopic management of multiple
s0016-5107(90)71163-7. duodenal diaphragms: case report. Gastrointest Endosc 2003;58:
4. Piper DW, McIntosh JH, Ariotti DE, et al. Analgesic ingestion and 158–160. DOI: 10.1067/mge.2003.323.
chronic peptic ulcer. Gastroenterology 1981;80:427–32. PMID: 19. Noor MT, Dixit P, Kochhar R, et al. NSAIDS-related pyloroduodenal
7450436. obstruction and its endoscopic management. DiagnTher Endosc
5. Appasani S, Kochhar S, Nagi B, et al. Benign gastric outlet obstruction- 2011:967957. DOI:10.1155/2011/967957.
spectrum and management. Trop Gastroenterol 2011;32:259–66. 20. Kochhar R, Malik S, Gupta P, et al. Etiological spectrum and response to
PMID: 22696905. endoscopic balloon dilatation in patients with benign gastric outlet
6. Aggarwal A, Noor MT, Kochhar R, et al. Substance induced gastric obstruction. Amer Soc Gastrointest Endosc 2018 Dec;88(6):899–908.
outlet obstruction-clinical profile and endoscopic outcome. Indian Available from: https://doi.org/10.1016/j.gie.2018.06.037.

World Journal of Laparoscopic Surgery, Volume 14 Issue 3 (September–December 2021) 185