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Ulceration in the Bariatric Patient

  • Gloria Fernández-Esparrach
  • Carlos Guarner-Argente
  • Josep M. Bordas
Chapter

Abstract

Marginal ulceration is a common complication following Roux-en-Y gastric bypass surgery. These ulcers usually occur at the gastrojejunal anastomosis and can cause significant morbidity, resulting in multiple readmissions. The incidence seems to vary widely depending on the surgical technique, and theories about marginal ulcer etiology are abundant, including excess acid, fistula formation, ischemia, bile reflux, foreign body reactions, inflammation, and H. pylori infection. Long-term medical treatment with sucralfate suspension and acid inhibitors seems to heal ulcers in most patients. Additionally, revision surgery has been performed for recalcitrant ulcer disease with variable success.

Keywords

Gastric Bypass Pylorus Infection Laparoscopic Adjustable Gastric Banding Staple Line Vertical Band Gastroplasty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Gloria Fernández-Esparrach
    • 1
  • Carlos Guarner-Argente
    • 1
  • Josep M. Bordas
    • 1
  1. 1.Endoscopy Unit, Gastroenterology DepartmentHospital ClinicBarcelonaSpain

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