Daniel Dempsey

BACKGROUND: Chronic morbidity and/or symptomatic recurrence remain problematic after operation for large PEH (type II, III, IV with >30% stomach in mediastinum), often performed for mechanical symptoms (not GERD) in frail elderly patients…

A 50-year-old female presented with partial gastric outlet obstruction due to pyloric and duodenal stenosis secondary to peptic ulcer disease. Despite a history of multiple dilations, she continued to experience severe nausea, vomiting, and weight loss…