Perforated Duodenal Ulcer After Laparoscopic Gastric Bypass

Perforated Duodenal Ulcer After Laparoscopic Gastric Bypass

A patient with a history of a laparoscopic gastric bypass presented with a perforated duodenal ulcer. The ulcer was laparoscopically oversewn, and an omentoplasty was performed. Postoperatively, a broad spectrum antibiotic and a proton pump inhibitor were administrated. Several questions arise regar...

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Bibliographic Details
Published in:Obesity surgery Vol. 18; no. 12; pp. 1644 - 1646
Main Authors: Gypen, Bart J., Hubens, Guy J. A., Hartman, Vera, Balliu, Lee, Chapelle, Thièry C. G., Vaneerdeweg, Wouter
Format: Journal Article
Language:English
Published: New York Springer-Verlag 01-12-2008
Springer Nature B.V
Subjects:
Adult
Case Report
Duodenal Ulcer - complications
Female
Gastric Bypass - methods
Gastrointestinal surgery
Humans
Laparoscopy
Medicine
Medicine & Public Health
Obesity
Omentum - transplantation
Peptic Ulcer Perforation - etiology
Postoperative Complications - surgery
Reoperation
Stomach
Surgery
Surgical outcomes
Ulcers
Perforated duodenal ulcer
Gastric remnant
Laparoscopic gastric bypass
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Description
Summary:A patient with a history of a laparoscopic gastric bypass presented with a perforated duodenal ulcer. The ulcer was laparoscopically oversewn, and an omentoplasty was performed. Postoperatively, a broad spectrum antibiotic and a proton pump inhibitor were administrated. Several questions arise regarding the diagnosis and treatment of duodenal ulcers after gastric bypass. What are the diagnostic tools to detect a duodenal ulcer, and how should Helicobacter pylori be diagnosed after gastric bypass? The key question is whether the bypassed stomach should be resected as a definitive treatment for complicated duodenal ulcers.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-008-9530-y