Yeghiazaryan M, Leyva AA, Cantú DO, Hernández AP

Language: Spanish
References: 5
Page: 201-204
PDF size: 774.48 Kb.

ABSTRACT

The marginal ulcer is an uncommon complication following Roux-en-Y gastric bypass, and although less frequent, it can also occur after a single-anastomosis gastric bypass. It is characterized by the formation of an ulcer at or near the gastrojejunal anastomosis and can occur in both early and late stages, influenced by local and technical factors of the anastomosis. We present the clinical case of a 34-year-old woman with a history of smoking and marijuana use who underwent a mini gastric bypass and subsequently experienced severe abdominal pain. Diagnostic laparoscopy revealed a 1 cm perforation at the gastrojejunal anastomosis, leading to the decision to convert the mini gastric bypass to a Roux-en-Y gastric bypass. The postoperative period was uneventful. Marginal ulcer, especially when perforated, is a serious complication that may require urgent surgical intervention to repair the perforation and prevent potentially life-threatening complications. It is important to identify risk factors to prevent and appropriately address complications. Early diagnosis and timely surgical treatment are crucial to prevent severe complications. Postoperative follow-up and regular evaluation are necessary to ensure proper recovery and prevent the recurrence of marginal ulcers.

REFERENCES

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