A 35-year-old male who had a chronic duodenal ulcer for the last six years presents with worsening of symptoms, loss of periodicity of symptoms, pain on rising in the morning, sense of epigastric bloating and post-prandial vomiting. The most likely cause of the worsening of his symptoms is development of
Chronic duodenal ulcer after many years undergoes scarring and cicatrisation causing total obstruction of the pylorus. Reference: SRB edition:5 page no. 828
Posterior penetration
Gastric outlet obstruction
Carcinoma
Pancreatitis
G.I.T