title: Catastrophic bleeding from a marginal ulcer after gastric bypass.
abstract: Marginal ulceration at the gastrojejunal anastomosis is a common complication following Roux-Y gastric bypass (RYGB). Hemodynamically significant hemorrhagic marginal ulcers are usually treated either endoscopically or surgically. We describe a unique case of life-threatening hemorrhagic marginal ulcer eroding into the main splenic artery. This condition was initially managed with angiographic embolization, followed by surgical intervention.
authors.affiliation: Department of Surgery, Yale University, New Haven, CT, USA.
authors.forename: Shafik
authors.initials: S
authors.lastname: Sidani
authors.forename: Ehab
authors.initials: E
authors.lastname: Akkary
authors.forename: Robert
authors.initials: R
authors.lastname: Bell
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology*; D013157:Splenic Artery; D013270:Stomach / Q000601:surgery