INTRODUCTION: @entity5 and mechanical @entity1084 are two major accompaniments of advanced upper @entity5 . The incidence of such problems has not been well documented in @entity1 of @entity1086 . The aim of this study was to determine the incidence of gastric outlet problems in @entity1 of @entity1086 and correlate them with clinical presentation. The role of prophylactic gastrojejunostomy (GJ) and its postoperative outcome was also evaluated. @entity1 AND METHODS: Thirty seven @entity1 of @entity1086 were prospectively studied. Twenty five @entity1 underwent radio labelled solid meal @entity356 study and eleven of these underwent prophylactic GJ and followup @entity356 study in early postoperative period. RESULTS: Mechanical @entity1084 was seen in 10 (27%) @entity1 . @entity356 on scintigraphic study was found in 10 (40%) of remaining @entity1 (n = 25). Only 6 (60%) of these @entity1 were actually symptomatic. All @entity1 who had delayed @entity356 also had an advanced disease. No correlation was found between delayed @entity356 and presence of @entity1087 and/or serum levels of @entity648 . Prophylactic GJ had 18% postoperative morbidity as compared to 28.5% for therapeutic GJ done during the same period. Oral feed were started latest by 11th postoperative day. Prophylactic GJ did not affect @entity356 patterns in early postoperative period. CONCLUSION: Mechanical @entity1084 was present in 27% @entity1 . @entity356 was seen in 40% of remaining @entity1 with @entity1086 . @entity356 correlated well with symptoms of @entity7623 and the stage of disease. Functioning of gastrojejunostomy was not fully dependent on presence or absence of @entity5 .

XXXX and outlet obstruction in @entity1086 .

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundice'] @entity5 :: ('MESH:D009369', 'Disease') :: ['abdominal malignancies', 'Malignant gastroparesis', 'malignant gastroparesis'] @entity648 :: ('MESH:D001663', 'Chemical') :: ['bilirubin'] @entity1084 :: ('MESH:D017219', 'Disease') :: ['gastric outlet obstruction'] @entity1086 :: ('MESH:D005706', 'Disease') :: ['carcinoma gall bladder'] @entity7623 :: ('MESH:D018589', 'Disease') :: ['gastric stasis'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric emptying', 'Delayed gastric emptying']
@entity5 :: (MESH:D009369,Disease) :: ['Malignant gastroparesis']
