Lone YA, et al. - In this retrospective single-center study, researchers presented their experience of 5 cases (age range was 3 to 6 years; only one was female) of primary acquired gastric outlet obstruction, illustrating the similarities and differences in management of the patient population which happens to be the second largest reported in literature. All the cases presented with characteristic nonbilious vomiting that was recurrent and episodic. A dilated stomach and delayed gastric emptying were noted in upper GI (gastrointestinal) contrast study series. A dilated stomach without any intraluminal polyp, ulcer or any other pathology were also observed in upper GI endoscopy. The pylorus had no scarring, inflammation, external compression or any mass in and around the pylorus during the intraoperative assessment. In all patients, a cure was achieved with a retrocolic gastrojejunostomy. Based on these findings, they recommend maintaining a high index of suspicion for primary acquired gastric outlet obstruction (GOO) in the differential diagnosis of older children with nonbilious vomiting and failure to thrive despite the rarity of this condition and favor performing surgical interventions expeditiously following appropriate diagnostic workup in view of the significance of adequate nutrition for proper physical and mental development of the child.