title: Perforated ulcer at the gastrojejunostomy: laparoscopic repair after Roux-en-Y gastric bypass.
abstract: A 44-year-old woman was admitted from the emergency department with severe acute upper abdominal pain. The patient had undergone a laparoscopic Roux-en-Y gastric bypass (RYGBP) operation 16 months previously. CT scan showed intraabdominal free air. At emergency laparoscopic reoperation, a perforated ulcer at the gastrojejunostomy was found. This late complication of RYGBP can be a rapidly progressing life-threatening situation, and requires prompt treatment. Closure and omental patch were successful laparoscopically.
authors.affiliation: Department of Visceral and Transplantation Surgery, University Hospital Zurich, Switzerland.
authors.forename: Matthias
authors.initials: M
authors.lastname: Bramkamp
authors.forename: Markus Karl
authors.initials: MK
authors.lastname: Muller
authors.forename: Stefan
authors.initials: S
authors.lastname: Wildi
authors.forename: Pierre Alan
authors.initials: PA
authors.lastname: Clavien
authors.forename: Markus
authors.initials: M
authors.lastname: Weber
mesh_terms: D000328:Adult; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000209:etiology* / Q000601:surgery*; D013276:Stomach Ulcer / Q000209:etiology* / Q000601:surgery*