Does GOO in endoscopy report mean pancreatic cancer risk?

Question

Hello doctor,

I have an old patient who is my father, aged 75 years old, who is diabetic and has hypertension. He has pain in the stomach, especially after eating, and has been experiencing serious weight loss.

We decided to have an endoscopy last year, and they found a sliding hiatal hernia. And we went for the barium swallow, which showed some signs of achalasia, and today we went for a second round of endoscopy, which showed the result as G.O.O 2° tumor at pylorus, and he suggested gastrojejunostomy as a plan or conclusion.

We are referred to a different specialist, but we have yet to book an appointment, and we are so anxious. We are fearing pancreatic cancer.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I feel sorry to hear about your father. I can imagine it must be a very tough time for you and other family members at this time. Well, GOO stands for Gastric outlet obstruction.

Yes, the common cause of it is pancreatic cancer and stomach cancer. The pylori is secondarily involved due to the tumor and not the primary source of the tumor. The surgical gastrojejunostomy can be performed by a surgeon, but it has certain risks in his age, as any procedure with anesthesia does.

The alternative safe option in such cases is an endoscopic gastroduodenal stent. This would be performed by an endoscopist and is one of the safest methods with low risk. You should discuss with the gastroenterologist in your vicinity.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.