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Surgery for Obesity and Related Diseases
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    • Cover Image - Surgery for Obesity and Related Diseases, Volume 19, Issue 6
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  • Gastrojejunostomy revision1
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  • Video case report

    Laparoscopic revision of chronic marginal ulcer and bilateral truncal vagotomy

    Surgery for Obesity and Related Diseases
    Vol. 12Issue 2p443–444Published online: October 16, 2015
    • T. Javier Birriel
    • Maher El Chaar
    Cited in Scopus: 2
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    In accredited centers, bariatric surgery is performed with very low mortality, morbidity, and readmission rates [1–3]. However, a small number of bariatric patients develop postoperative complications such as marginal ulcers. Previous reports cite the incidence of marginal ulcer with significant variability, from .6% to 16% [4]. The etiology of marginal ulcers after a laparoscopic Roux-en-Y gastric bypass is a matter of debate. Many factors are believed to contribute to the development of marginal ulcers, such as smoking, ischemia, foreign body reaction, gastrogastric fistulas, large gastric pouches, and tension at the anastomosis [5–9].
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