The main symptom is vomiting, which typically occurs after meals, of undigested food devoid of any bile. A history of previous peptic ulcers and loss of weight is not uncommon. In advanced cases, signs to look for on physical examination are wasting and dehydration. Visible peristalsis from left to right may be present. Succussion splash is a splash-like sound heard over the stomach in the left upper quadrant of the abdomen on shaking the patient, with or without the stethoscope. Bowel sound may be increased (borborygmi) due to excessive peristaltic action of the stomach. Fullness in the left hypochondrium may also be present.
Gastric outlet obstruction
Esophageal food bolus obstruction
Esophagogastric dissociation
Esophagogastric junction outflow obstruction
Gastric volvulus
Inspissation
Exocrine pancreatic insufficiency
Sphincter of Oddi dysfunction