Perforation in the bypassed stomach following laparoscopic Roux-en-Y gastric bypass.
Access to the bypassed stomach is difficult following laparoscopic Roux-en-Y gastric bypass (LRYGBP). The bypassed stomach is not readily available for endoscopic or radiographic evaluation. Diagnosis and treatment of peptic ulcer disease and its complications in the excluded stomach becomes difficult. We present a case of perforation in the bypassed stomach following LRYGBP secondary to peptic ulcer disease.
Papasavas
Pavlos K
PK
Minimally Invasive Surgical Program, West Penn Allegheny Health System, Pittsburgh, PA, USA.
Yeaney
Woodrow W
WW
Caushaj
Philip F
PF
Keenan
Robert J
RJ
Landreneau
Rodney J
RJ
Gagné
Daniel J
DJ
D000328:Adult; D000713:Anastomosis, Roux-en-Y; D005260:Female; D005743:Gastrectomy / Q000379:methods; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D010439:Peptic Ulcer Perforation / Q000209:etiology* / Q000601:surgery; D013270:Stomach / Q000601:surgery*; D013276:Stomach Ulcer / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome