title: Delayed massive bleeding two years after Roux-en-Y gastric bypass.
abstract: BACKGROUND
  Delayed massive bleeding from an ischemic ulcer is a complication after Roux-en-Y gastric bypass (RYGB). Ischemic ulcers that present with massive bleeding are rare and challenging for the gastroenterologist as well as the bariatric surgeon.
  
  
  METHODS
  This report reviews the case of a 63-year-old man who underwent an uncomplicated laparoscopic RYGB for morbid obesity and experienced two episodes of massive hemorrhage after the procedure, almost 1 year apart.
  
  
  CONCLUSIONS
  To our knowledge, there are only a few such specific cases reported. Here, we describe the treatment and outcome for such a case and present a review of the literature.
authors.affiliation: Department of Surgery, St. Lucas Andreas Hospital, Amsterdam, The Netherlands.
authors.forename: Usha K
authors.initials: UK
authors.lastname: Coblijn
authors.forename: Sjoerd M
authors.initials: SM
authors.lastname: Lagarde
authors.forename: Jurriaan B
authors.initials: JB
authors.lastname: Tuynman
authors.forename: Juup J M
authors.initials: JJ
authors.lastname: van Meyel
authors.forename: Bart A
authors.initials: BA
authors.lastname: van Wagensveld
mesh_terms: D015390:Gastric Bypass; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D013997:Time Factors
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