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Perforated Ulcer at the Gastrojejunostomy: Laparoscopic Repair after Roux-en-Y Gastric Bypass

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A 44-year-old woman was admitted from the emergency department with severe acute upper abominal 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.

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Authors and Affiliations

  1. Department of Visceral and Transplantation Surgery, University Hospital Zurich, Switzerland

    Matthias Bramkamp MD

  2. Department of Visceral and Transplantation Surgery, University Hospital Zurich, Switzerland

    Markus Karl Muller MD

  3. Department of Visceral and Transplantation Surgery, University Hospital Zurich, Switzerland

    Stefan Wildi MD

  4. Department of Visceral and Transplantation Surgery, University Hospital Zurich, Switzerland

    Pierre Alan Clavien MD, PhD

  5. Department of Visceral and Transplantation Surgery, University Hospital Zurich, Switzerland

    Markus Weber MD

Authors
  1. Matthias Bramkamp MD
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  2. Markus Karl Muller MD
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  3. Stefan Wildi MD
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  4. Pierre Alan Clavien MD, PhD
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  5. Markus Weber MD
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Bramkamp, M., Muller, M.K., Wildi, S. et al. Perforated Ulcer at the Gastrojejunostomy: Laparoscopic Repair after Roux-en-Y Gastric Bypass. OBES SURG 16, 1545–1547 (2006). https://doi.org/10.1381/096089206778870021

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  • DOI: https://doi.org/10.1381/096089206778870021

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