Perforated ulcer at the gastrojejunostomy: laparoscopic repair after Roux-en-Y gastric bypass

A 44-year-old woman was admitted from the emergency department with severe acute upper abdominal pain. The patient had undergone a laparoscopic Roux-en-Y gastric bypass (RYGBP) operation 16 months previously. CT scan showed intraabdominal free air. At emergency laparoscopic reoperation, a perforated...

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Bibliographic Details
Published in:	Obesity surgery Vol. 16; no. 11; pp. 1545 - 1547
Main Authors:	Bramkamp, Matthias, Muller, Markus Karl, Wildi, Stefan, Clavien, Pierre Alan, Weber, Markus
Format:	Journal Article
Language:	English
Published:	United States Springer Nature B.V 01-11-2006
Subjects:	Adult Female Gastric Bypass - adverse effects Humans Laparoscopy Obesity, Morbid - surgery Peptic Ulcer Perforation - etiology Peptic Ulcer Perforation - surgery Stomach Ulcer - etiology Stomach Ulcer - surgery Weight control
Online Access:	Get full text
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Summary:	A 44-year-old woman was admitted from the emergency department with severe acute upper abdominal pain. The patient had undergone a laparoscopic Roux-en-Y gastric bypass (RYGBP) operation 16 months previously. CT scan showed intraabdominal free air. At emergency laparoscopic reoperation, a perforated ulcer at the gastrojejunostomy was found. This late complication of RYGBP can be a rapidly progressing life-threatening situation, and requires prompt treatment. Closure and omental patch were successful laparoscopically.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0960-8923 1708-0428
DOI:	10.1381/096089206778870021