Patient Overview

-50-year-old patient with Type II DM (diagnosed 1 year prior).
-Symptoms: 7 kg weight loss in 1 month, loss of appetite, epigastric discomfort for 3 months.
-No additional complaints reported.

Physical Examination

General: Stable
Vitals: Within normal range
HEENT: Pink conjunctiva, no icterus
Chest: Clear
Abdomen: Full, moves with respiration, no palpable mass

Investigations

Endoscopy: Gastric mass, likely carcinoma Abdominal & Chest CT: Gastric mass, likely carcinoma
Endoscopic Biopsy: Adenocarcinoma

Diagnosis
-Gastric outlet obstruction secondary to gastric adenocarcinoma
-Type II Diabetes Mellitus


Procedure
-Distal gastrectomy with gastrojejunostomy (Billroth II).
Post-operative Course

The patient had a smooth, uneventful recovery.

a huge shout-out to our hepatobiliary surgeon, Dr. Abiy Michael, for a remarkable operation. From complex hepatobiliary procedures to life-saving interventions, the expertise and dedication displayed were exemplary.