A delayed acute complication of bariatric surgery: Gastric remnant haemorrhagic ulcer after Roux-en-Y gastric bypass

Acute gastric remnant bleeding is an exceptionally rare complication when it occurs long after bariatric surgery. We present the case of a patient with a bleeding ulcer of the excluded stomach (i.e., the remnant), occurring 7 years after Roux-en-Y gastric bypass (RYGB) for morbid obesity. A computed...

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Bibliographic Details
Published inJournal of minimal access surgery Vol. 14; no. 1; pp. 68 - 70
Main Authors Patrascu, Stefan, Ponz, Carmen Balague, Ananin, Sonia Fernandez, Soler, Eduardo M Targarona
Format Journal Article
LanguageEnglish
Published India Medknow Publications and Media Pvt. Ltd 01.01.2018
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects
Bariatric surgery
Blood
Care and treatment
Case studies
Complications and side effects
Diagnosis
Endoscopy
Gastric bypass
gastric ulcer
Gastrointestinal surgery
haemorrhage
Heart surgery
Hemorrhage
Hernias
Hospitals
Laboratories
Laparoscopy
Medical imaging
morbid obesity
Ostomy
Pain
Polyvinyl alcohol
Postoperative complications
Stomach
Substance abuse treatment
Ulcers
Unusual Case
Weight control
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Summary:Acute gastric remnant bleeding is an exceptionally rare complication when it occurs long after bariatric surgery. We present the case of a patient with a bleeding ulcer of the excluded stomach (i.e., the remnant), occurring 7 years after Roux-en-Y gastric bypass (RYGB) for morbid obesity. A computed tomography scan managed to locate the active bleeding source in the gastric remnant. During emergency laparotomy, a bleeding ulcer of the fundic region of the excluded stomach was identified. Total resection of the remnant was performed, with good post-operative recovery. To the best of our knowledge, this is the first full report of a significantly delayed haemorrhagic ulcer of the gastric remnant, occurring years after RYGB.
ISSN:0972-9941
1998-3921
DOI:10.4103/jmas.JMAS_148_16