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Reminder of important clinical lesson
CASE REPORT
Perforated gastric remnant ulcer after laparoscopic gastric bypass
  1. Lu Dai1,
  2. Mihir M Shah2,
  3. Steven Rosenblatt3
  1. 1Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio, USA
  2. 2Surgical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA
  3. 3Department of General Surgery, Cleveland Clinic, Cleveland, Ohio, USA
  1. Correspondence to Dr Mihir M Shah, shahmihir_999{at}hotmail.com

Summary

Ulcer perforation in the excluded stomach and duodenum is a rare complication after Roux-en-Y gastric bypass (RYGB). Pathogenesis of these ulcers are multifactorial. We report a case of perforated gastric remnant ulcer in a 54-year-old woman who had undergone a laparoscopic RYGB 5 years previously. The perforation was successfully repaired with an omental patch. We also present a review of the literature of similar cases.

  • bariatric surgery
  • gastric remnant
  • perforation of gastric remnant
  • marginal ulcer
  • gastric remnant ulcer
  • Roux-en-Y gastric bypass

https://doi.org/10.1136/bcr-2017-222190

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    Footnotes

    • Contributors LD drafted and revised the article. MMS was directly involved with the patient’s care and agreed to be accountable for the article and to ensure that all questions regarding the article are investigated and resolved. SR was directly involved with the patient’s care and revised the article critically for important intellectual content.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.