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Perforated Duodenal Ulcer After Laparoscopic Gastric Bypass

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Abstract

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.

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References

  1. Melvin WS. Roux-en-Y gastric bypass is the operation of choice for obesity. J Gastrointest Surg. 2004;8:398–400.

    Article  PubMed  Google Scholar 

  2. MacGregor AMC, Pickens NE, Thoburn EK. Perforated peptic ulcer following gastric bypass for obesity. Am Surg. 1999;65:222–5.

    PubMed  CAS  Google Scholar 

  3. NIH Consensus Development Panel on Helicobacter pylori in peptic ulcer disease. Helicobacter in peptic ulcer disease. JAMA. 1994;272:65–9.

    Article  Google Scholar 

  4. Nosher JL, Bodner LJ, Girgis WS, et al. Percutaneous gastrostomy for treating dilatation of the bypassed stomach after bariatric surgery for morbid obesity. AJR Am J Roentgenol. 2004;183:1431–5.

    PubMed  Google Scholar 

  5. Martinez J, Guerrero L, Byers P, et al. Endoscopic retrograde cholangiopancreaticography and gastroduodenoscopy after Roux-en-Y gastric bypass. Surg Endosc. 2006;20:1548–50.

    Article  PubMed  CAS  Google Scholar 

  6. Fobi MAL, Chicola K, Lee H. Access to the bypassed stomach after gastric bypass. Obes Surg. 1998;8:289–95.

    Article  PubMed  CAS  Google Scholar 

  7. Silecchia G, Catalano C, Gentileschi P, et al. Virtual gastroduodenoscopy: a new look at the bypassed stomach and duodenum after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg. 2002;12:39–48.

    Article  PubMed  Google Scholar 

  8. Sakai P, Kuga R, Safatle-Ribeiro AV, et al. Is it feasible to reach the bypassed stomach after Roux-en-Y gastric bypass for morbid obesity? The use of the double balloon enteroscope. Endoscopy. 2005;37:566–9.

    Article  PubMed  CAS  Google Scholar 

  9. Csendes A, Smok G, Burgos AM. Endoscopic and histologic findings in the gastric pouch and the Roux limb after gastric bypass. Obes Surg. 2006;16:279–83.

    Article  PubMed  Google Scholar 

  10. Veenendaal RA, Pena AS, Meijer JL, et al. Long term serological surveillance after Helicobacter pylori infection. Gut. 1991;32:1291–4.

    Article  PubMed  CAS  Google Scholar 

  11. Gisbert JP, Pajares JM. Stool antigen test for the diagnosis of Helicobacter pylori infection: a systematic review. Helicobacter. 2004;9:347–68.

    Article  PubMed  Google Scholar 

  12. Hardin FJ, Wright RA. Helicobacter pylori: review and update. Hosp Physician. 2002;38:23–31.

    Google Scholar 

  13. Csendes A, Burdiles P, Papapietro K, et al. Results of gastric bypass plus resection of the distal excluded gastric segment in patients with morbid obesity. J Gastrointest Surg. 2005;9:121–31.

    Article  PubMed  Google Scholar 

  14. Marcuard SP, Sinar DR, Swanson MS, et al. Absence of luminal intrinsic factor after gastric bypass surgery for morbid obesity. Dig Dis Sci. 1989;34:1238–42.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Abdominal, Pediatric and Reconstructive Surgery, University Hospital of Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium

    Bart J. Gypen, Guy J. A. Hubens, Vera Hartman, Lee Balliu & Wouter Vaneerdeweg

  2. Department of Hepatobiliairy, Transplantation and Endocrine Surgery, University Hospital of Antwerp, Edegem, Belgium

    Thièry C. G. Chapelle

Authors
  1. Bart J. Gypen
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  2. Guy J. A. Hubens
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  3. Vera Hartman
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  4. Lee Balliu
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  5. Thièry C. G. Chapelle
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  6. Wouter Vaneerdeweg
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Corresponding author

Correspondence to Bart J. Gypen.

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Gypen, B.J., Hubens, G.J.A., Hartman, V. et al. Perforated Duodenal Ulcer After Laparoscopic Gastric Bypass. OBES SURG 18, 1644–1646 (2008). https://doi.org/10.1007/s11695-008-9530-y

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  • DOI: https://doi.org/10.1007/s11695-008-9530-y

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