ArticleCureus2025
A Rare Case of Type II Adult Hypertrophic Pyloric Stenosis Secondary to Chronic Peptic Ulcer Disease.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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Abstract
Adult hypertrophic pyloric stenosis (AHPS) is a rare subtype of gastric outlet obstruction (GOO) that occurs without a history of recurrent vomiting or other gastrointestinal symptoms in infancy. AHPS type 2 is the most common type of AHPS that arises from underlying GI pathologies such as recurrent peptic ulcer disease (PUD), malignancy, vagal hyperactivity, and extrinsic adhesions. A 43-year-old male with no history of vomiting in infancy presented with a two-day history of intractable nausea, nonbilious and non-bloody forceful vomiting, globus pharyngeus, and worsening dysphagia to both solids and liquids. The patient had experienced similar episodes in the past, all of which were managed conservatively. The computed tomography (CT) of the abdomen/pelvis with IV contrast showed marked distention of the stomach, unable to rule out GOO. Esophagogastroduodenoscopy (EGD) revealed multiple clean-based ulcers with a pinhole-sized opening at the pylorus, making it difficult to pass. A robotic distal gastrectomy with Roux-en-Y reconstruction was subsequently performed without major complications. The pathological examination of the specimen showed focal, moderate, nonspecific chronic inflammation but was negative for
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