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    Shifat Ahmed

    Zaid Ansari, MD1, Shehroz Aslam, MD2, Santiago Garcia Ortiz, MD1, Jacob Moussa, MD2, Bianca Varda, MD3, Mustafa Alani, MD4, Venkata Pulivarthi, MD1, Shifat Ahmed, MD3, Keng-Yu Chuang, MD1, Savio Reddymasu, MD3. Creighton University School... more
    Zaid Ansari, MD1, Shehroz Aslam, MD2, Santiago Garcia Ortiz, MD1, Jacob Moussa, MD2, Bianca Varda, MD3, Mustafa Alani, MD4, Venkata Pulivarthi, MD1, Shifat Ahmed, MD3, Keng-Yu Chuang, MD1, Savio Reddymasu, MD3. Creighton University School of Medicine Phoenix Program, Phoenix, AZ; Creighton University, Dignity Health St. Joseph’s Medical Center, Phoenix, AZ; St. Joseph’s Hospital and Medical Center, Creighton University School of Medicine, Phoenix, AZ; Creighton University/St. Joseph’s Medical Center, Phoenix, AZ.
    INTRODUCTION: Gastric outlet obstruction (GOO) is the intrinsic or extrinsic obstruction of the pyloric channel or duodenum. The most common cause remains to be peptic ulcer disease which results in inflammation, edema or fibrosis. GOO... more
    INTRODUCTION: Gastric outlet obstruction (GOO) is the intrinsic or extrinsic obstruction of the pyloric channel or duodenum. The most common cause remains to be peptic ulcer disease which results in inflammation, edema or fibrosis. GOO typically presents with epigastric abdominal pain and postprandial vomiting. While the incidence of GOO is unclear, it has declined since the identification of Helicobacter pylori, H2-receptor antagonists and endoscopic therapy. We present a case of a benign polyp obstructing the pyloric channel. CASE DESCRIPTION/METHODS: 39 year-old female with a history of pulmonary embolism on Eliquis, Diabetes mellitus type 2 who presents for several months of epigastric pain, nausea and intractable vomiting. Prior to arrival, she had endoscopic evaluation at an outside hospital showing evidence of 1.5 cm gastric polyp in the pyloric channel. At the time, the polyp was not excised due to the patient being on anticoagulation. On admission, she underwent CT angiogra...

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