Surgery for Obesity and Related Diseases
Volume 6, Issue 5 , Pages 561-562 , September 2010

Laparoscopic revision of gastrojejunostomy revision with truncal vagotomy for persistent marginal ulcer after Roux-en-Y gastric bypass

  • Tejwant S. Datta, M.D.

      Affiliations

    • Johns Hopkins Hospital, Baltimore, Maryland
    • Corresponding Author InformationCorrespondence: Tejwant S. Datta, M.D., Johns Hopkins Hospital, 600 North Wolfe Street, Blalock 1222, Baltimore, MD 21287
    • ,
  • Kimberley Steele, M.D.

      Affiliations

    • Department of Bariatric Surgery, Johns Hopkins Bayview Medical Center, Baltimore, Maryland
    • ,
  • Michael Schweitzer, M.D.

      Affiliations

    • Department of Bariatric Surgery, Johns Hopkins Bayview Medical Center, Baltimore, Maryland

Received 30 April 2010 ,Revised 6 May 2010 ,Accepted 11 May 2010.

References 

  1. Spaulding L. The impact of small bowel resection on the incidence of stomal stenosis and marginal ulcer after gastric bypass. Obes Surg. 1997;7:485–487
  2. Hedberg J, Hedenström H, Nilsson S, Sundbom M, Gustavsson S. Role of gastric acid in stomal ulcer after gastric bypass. Ober Surg. 2005;15:1375–1378
  3. Rasnussen JJ, Fuller W. Marginal ulceration after laparoscopic gastric bypass: an analysis of predisposing factors in 260 patients. Surg Endosc. 2007;21:1090–1094
  4. Csendes A, Burgos AM, Altuve J, Bonacic S. Incidence of marginal ulcer 1 month and 1 to 2 years after gastric bypass: a prospective consecutive endoscopic evaluation of 442 patients with morbid obesity. Obes Surg. 2009;19:135–138
  5. Sapala JA, Wood MH, Sapala MA, Flake TM. Marginal ulcer after gastric bypass: a prospective 3-year study of 173 patients. Obes Surg. 1998;8:505–516
  6. Schneider BE, Villegas L, Blackburn GL, Mun EC, Critchlow JF, Jones DB. Laparoscopic gastric bypass surgery: outcomes. J Laparoendosc Adv Surg Tech. 2003;13:247–255
  7. MacLean LD, Rhode BM, Nohr C, Katz S, McLean APH. Stomal ulcer after gastric bypass. J Am Coll Surg. 1997;185:1–6
  8. Sacks BC, Mattar SG, Qureshi FG, et al. Incidence of marginal ulcers and the use of absorbable anastomotic sutures in laparoscopic Roux-en-Y gastric bypass. Surg Obes Rel Dis. 2006;2:11–16
  9. Rasmussen JJ, Fuller W, Ali MR. Marginal ulceration after laparoscopic gastric bypass: an analysis of predisposing factors in 260 patients. Surg Endosc. 2007;21:1090–1094
  10. Siilin H, Wanders A, Gustavsson S, Sundbom M. The proximal gastric pouch invariably contains acid-producing parietal cells in Roux-en-Y gastric bypass. Obes Surg. 2005;15:771–777

PII: S1550-7289(10)00532-0

doi: 10.1016/j.soard.2010.05.020

Surgery for Obesity and Related Diseases
Volume 6, Issue 5 , Pages 561-562 , September 2010

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