title: Late Perforation of the Distal Roux-en-Y Anastomosis in a Patient with Biliopancreatic Diversion.
abstract: A 38-year old female with a history of biliopancreatic diversion for morbid obesity developed a perforation at the distal Roux-en-Y anastomosis 13 months after the original surgery. The etiology of this complication was not determined. Perforation of a Roux-en-Y anastomosis occurring this late in the postoperative period has not been described previously.
authors.affiliation: General Surgery Service, Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431 USA.
authors.initials: PL
authors.lastname: Anderson
authors.initials: V
authors.lastname: Velanovich
authors.initials: CR
authors.lastname: Kaufman
authors.initials: PL
authors.lastname: Carter