Full Answer
A rare cause of gastric outlet obstruction is blockage with a gallstone, also termed "Bouveret syndrome" or "Bouveret's syndrome". In children congenital pyloric stenosis / congenital hypertrophic pyloric stenosis may be a cause.
The differential diagnosis of gastric outlet obstruction may include: early gastric carcinoma, hiatal hernia, gastroesophageal reflux, adrenal insufficiency, and inborn errors of metabolism. Treatment of gastric outlet obstruction depends on the cause, but is usually either surgical or medical .
A common form is due to muscle hypertrophy (pyloric stenosis, hypertrophic) seen in infants. Narrowing of the pyloric lumen caused either by hypertrophy of the surrounding muscles or tissue scarring due to a chronic peptic ulcer. ICD-10-CM K31.1 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 380 Complicated peptic ulcer with mcc
Individuals with gastric outlet obstruction will often have recurrent vomiting of food that has accumulated in the stomach, but which cannot pass into the small intestine due to the obstruction. The stomach often dilates to accommodate food intake and secretions.
K31. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K31.
ICD-10-CM Code for Adult hypertrophic pyloric stenosis K31. 1.
2022 ICD-10-CM Diagnosis Code C16. 4: Malignant neoplasm of pylorus.
2022 ICD-10-CM Diagnosis Code A41. 9: Sepsis, unspecified organism.
Gastric outlet obstruction (GOO) is a clinical syndrome characterized by epigastric abdominal pain and postprandial vomiting due to mechanical obstruction. The term gastric outlet obstruction is a misnomer since many cases are not due to isolated gastric pathology, but rather involve duodenal or extraluminal disease.
The causes of pyloric stenosis are unknown, but genetic and environmental factors might play a role. Pyloric stenosis usually isn't present at birth and probably develops afterward.
stomachThe pyloric antrum is the lower or distal portion above the duodenum. The opening between the stomach and the small intestine is the pylorus, and the very powerful sphincter, which regulates the passage of chyme into the duodenum, is called the pyloric sphincter.
ICD-10 code: K57. 92 Diverticulitis of intestine, part unspecified, without perforation, abscess or bleeding.
Symptoms of gastric outlet obstruction include nausea, nonbilious vomiting, epigastric pain, early satiety, abdominal distention, and weight loss.
Acute kidney failure, unspecified.
If septic shock is documented, A41. 9 and R65. 21 can be coded.
M35. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M35. 81 became effective on October 1, 2021.