An old man aged 64 years came in with the complaints of frequent abdominal pain and vomiting since 2 years. He has vomiting of water as soon as it reaches the stomach, but the food retains longer. Eructation after drinking, Vomits out all fluids. He has burning and a feeling of a load in stomach. He will eat for several days then vomits out. He is better with cold drinks but vomits when stomach becomes full. History of laprotomy at the age of 56 years. He complains of inexpressible pain in the stomach must bend backwards. On examination his tongue is whitish.
What is your similimum?