title: Perforation of the gastric remnant in a patient post-Roux-en-Y gastric bypass.
abstract: With the dramatic increase in obesity surgery and the subsequent increase in ageing post-gastric bypass patients, early recognition of possible and serious complications is of the utmost importance. We present a case of a 33-year-old woman who presented to the emergency room, with progressive epigastric pain. The patient had undergone laparoscopic Roux-en-Y gastric bypass surgery 14 months earlier. Diagnostic laparoscopy was performed and showed a prepyloric perforation of the gastric remnant. The defect was closed and omentoplasty was performed. The patient was put on lifelong proton pump inhibitors.
authors.affiliation: Elisabeth-TweeSteden Ziekenhuis, Tilburg, The Netherlands.
authors.forename: Sander
authors.initials: S
authors.lastname: Ovaere
authors.affiliation: Erasmus MC, Rotterdam, The Netherlands.
authors.forename: Win Hou W
authors.initials: WH
authors.lastname: Tse
authors.affiliation: Elisabeth-TweeSteden Ziekenhuis, Tilburg, The Netherlands.
authors.forename: Ellis E
authors.initials: EE
authors.lastname: Schipper
authors.affiliation: Elisabeth-TweeSteden Ziekenhuis, Tilburg, The Netherlands.
authors.forename: Willem Richard
authors.initials: WR
authors.lastname: Spanjersberg
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D018530:Gastric Stump / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D054328:Proton Pump Inhibitors