The incidence of marginal ulceration after gastric bypass has been reported with significant
variability (1–16%) [
[1]
]. Although its pathogenesis is unclear, several factors are associated with ulcer
formation, including acid exposure, ischemia, foreign body, medications, and tobacco.
In general, pharmacologic therapy is highly effective for ulcer healing, and surgical
intervention is usually reserved for complications—typically bleeding or perforation.
Rarely, surgical intervention is indicated for cases refractory to medical therapy.Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Surgery for Obesity and Related DiseasesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Revisional operations for marginal ulcer after Roux-en-Y gastric bypass.Surg Obes Relat Dis. 2009; 5: 317-322
- Gastrojejunal anastomotic strictures following laparoscopic Roux-en-Y gastric bypass surgery: analysis of 1291 patients.Surg Obes Relat Dis. 2006; 2: 92-97
- Role of gastric acid in stomal ulcer after gastric bypass.Obes Surg. 2005; 15: 1375-1378
- Fewer gastrojejunostomy strictures and marginal ulcers with absorbable suture.Surg Endosc. 2009; 23: 2011-2015
- Marginal ulceration after laparoscopic gastric bypass: an analysis of predisposing factors in 260 patients.Surg Endosc. 2007; 21: 1090-1094
- Perforated marginal ulcers after laparoscopic gastric bypass.Surg Endosc. 2008; 22: 2128-2132
- Perforating marginal ulcers after laparoscopic gastric bypass.Surg Endosc. 2006; 20: 51-54
- Preoperative bariatric screening and treatment of Helicobacter pylori.Surg Endosc. 2009; 23: 2531-2534
- Can a short course of prophylactic low-dose proton pump inhibitor therapy prevent stomal ulceration after laparoscopic Roux-en-Y gastric bypass?.Obes Surg. 2010; 20: 595-599
- Laparoscopic gastrojejunostomy revision: a novel approach to intractable marginal ulcer management.Surg Obes Relat Dis. 2010; 6: 557-558
- Laparoscopic revision of gastrojejunostomy revision with truncal vagotomy for persistent marginal ulcer after Roux-en-Y gastric bypass.Surg Obes Relat Dis. 2010; 6: 561-562
- Laparoscopic revision of the gastrojejunostomy for recurrent bleeding ulcers after past open revision gastric bypass.Obes Surg. 2006; 16: 1662-1668
Article info
Publication history
Published online: July 04, 2011
Accepted:
May 11,
2011
Received:
April 30,
2011
Identification
Copyright
© 2011 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.