Role for endoscopic and laparoscopic management of GOO secondary to PUD
Patients treated with balloon dilatation, without treatment of H. pylori infection have a higher rate of failure and recurrent obstruction. Patients who are negative for H. pylori do not respond favorably to balloon dilatation and should be considered for surgical treatment early in the process.
Laparoscopic truncal vagotomy and drainage procedure, either pyloroplasty or jejunostomy, has been described successfully with low morbidity. The choice of open or laparoscopic management depends on the skill and experience of the surgeon.