Case Study

A Rare Case of Perforated Gastric Remnant after Roux-enY Gastric Bypass

Madiha Ahmed
Orlando Regional Healthcare, USA
Sarina Koilpillai
Orlando Regional Healthcare, USA
Azeem Khan
Orlando Regional Healthcare, USA
Ehsan Rafiq
Orlando Regional Healthcare, USA
Steve Carlan
Orlando Regional Healthcare, USA
* Corresponding author
DOI icon 10.24018/clinicmed.2023.4.2.241

Read Counter
186

Downloads
194

Citations

Share

Article Sidebar

Submitted 2022-12-03
Published 2023-03-05

Read counter = 186 times

Table of Contents

Article Main Content

Morbid obesity is a major health problem worldwide and the Roux-en-Y gastric bypass (RYGB) is a popular surgical treatment. A 40 year old woman, 17 years post RYGB presented with concurrent symptomatic gastric ulcers and acute pancreatitis. The diagnosis was difficult and after failed medical therapy, surgery was required. The gastric remnant is not easily accessible by endoscopy thus; detecting PUD in this excluded segment is difficult. As a result, alternative methods, such as exploratory laparotomy or pediatric endoscopy may be required to effectively diagnose the gastric remnant.

Keywords: Obesity perforated gastric ulcer peptic ulcer disease roux-en-Y gastric bypass

References

  1. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999-2000. JAMA. 2002; 288(14): 1723-1727.
     Google Scholar
  2. Angrisani L, Santonicola A, Iovino P, Vitiello A, Zundel N, Buchwald H, et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg. 2017; 27(9): 2279-2289.
     Google Scholar
  3. Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic Gastric Bypass, Roux-en-Y: Preliminary Report of Five Cases. Obes Surg. 1994; 4(4): 353-357.
     Google Scholar
  4. Losada H, López M, Avaria P, Troncoso A. Gastric Perforation Associated With Acute Pancreatitis: Case Report. Arq Bras Cir Dig. 2017; 30(2): 162-163.
     Google Scholar
  5. Kubo K, Nakamura H, Hirohata Y, Abe S, Onari N, Otsuki M. Ruptured aneurysm and gastric perforation associated with acute pancreatitis: a rare cause of hematemesis. Gastrointest Endosc. 2001; 53(6): 658-660.
     Google Scholar
  6. Hsu CY, Lee KC, Chan CC, Lee FY, Lin HC. Gastric necrosis and perforation as a severe complication of pancreatic pseudocyst. J Chin Med Assoc. 2009; 72(11): 603-606.
     Google Scholar
  7. Mensier A, Bounoua F, Beretvas G, Mosoi A, Dardenne S. Kissing gastric ulcers causing acute pancreatitis and portal biliopathy: what's the link? JOP. 2013; 14(6): 646-648.
     Google Scholar


Most read articles by the same author(s)