Journal of Minimally Invasive Surgical Sciences

Published by: Kowsar

Laparoscopic Repair of Perforated Marginal Ulcer After Roux-en-Y Gastric Bypass: A Case Report and Review of Literature

Basim Alkhafaji 1 , Muhammad Umar Younis 1 , * and Yousif Alkhafaji 1
Authors Information
1 Canadian Specialist Hospital Dubai, Dubai, United Arab Emirates
Article information
  • Journal of Minimally Invasive Surgical Sciences: February 28, 2019, 8 (1); e84181
  • Published Online: February 5, 2019
  • Article Type: Case Report
  • Received: September 11, 2018
  • Revised: November 8, 2018
  • Accepted: December 2, 2018
  • DOI: 10.5812/minsurgery.84181

To Cite: Alkhafaji B, Younis M U, Alkhafaji Y. Laparoscopic Repair of Perforated Marginal Ulcer After Roux-en-Y Gastric Bypass: A Case Report and Review of Literature, J Minim Invasive Surg Sci. 2019 ; 8(1):e84181. doi: 10.5812/minsurgery.84181.

Copyright © 2019, Journal of Minimally Invasive Surgical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Introduction
2. Case Presentation
3. Discussion
  • 1. Suter M, Giusti V. [Bariatric surgery in 2013: principles, advantages and disadvantages of the available procedures]. Rev Med Suisse. 2013;9(379):658. 660-3. French. [PubMed: 23596739].
  • 2. DeMaria EJ, Pate V, Warthen M, Winegar DA. Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of excellence using the bariatric outcomes longitudinal database. Surg Obes Relat Dis. 2010;6(4):347-55. doi: 10.1016/j.soard.2009.11.015. [PubMed: 20176512].
  • 3. Hutter MM, Schirmer BD, Jones DB, Ko CY, Cohen ME, Merkow RP, et al. First report from the American College of Surgeons Bariatric Surgery Center Network: Laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass. Ann Surg. 2011;254(3):410-20. discussion 420-2. doi: 10.1097/SLA.0b013e31822c9dac. [PubMed: 21865942]. [PubMed Central: PMC3339264].
  • 4. Ali MR, Fuller WD, Choi MP, Wolfe BM. Bariatric surgical outcomes. Surg Clin North Am. 2005;85(4):835-52. vii. doi: 10.1016/j.suc.2005.03.005. [PubMed: 16061089].
  • 5. Rasmussen JJ, Fuller W, Ali MR. Marginal ulceration after laparoscopic gastric bypass: An analysis of predisposing factors in 260 patients. Surg Endosc. 2007;21(7):1090-4. doi: 10.1007/s00464-007-9285-x. [PubMed: 17514403].
  • 6. Dallal RM, Bailey LA. Ulcer disease after gastric bypass surgery. Surg Obes Relat Dis. 2006;2(4):455-9. doi: 10.1016/j.soard.2006.03.004. [PubMed: 16925380].
  • 7. Wendling MR, Linn JG, Keplinger KM, Mikami DJ, Perry KA, Melvin WS, et al. Omental patch repair effectively treats perforated marginal ulcer following Roux-en-Y gastric bypass. Surg Endosc. 2013;27(2):384-9. doi: 10.1007/s00464-012-2492-0. [PubMed: 22936436].
  • 8. Steinemann DC, Bueter M, Schiesser M, Amygdalos I, Clavien PA, Nocito A. Management of anastomotic ulcers after Roux-en-Y gastric bypass: results of an international survey. Obes Surg. 2014;24(5):741-6. doi: 10.1007/s11695-013-1152-3. [PubMed: 24347350].
  • 9. Vasquez JC, Wayne Overby D, Farrell TM. Fewer gastrojejunostomy strictures and marginal ulcers with absorbable suture. Surg Endosc. 2009;23(9):2011-5. doi: 10.1007/s00464-008-0220-6. [PubMed: 19067070].
  • 10. Azagury DE, Abu Dayyeh BK, Greenwalt IT, Thompson CC. Marginal ulceration after Roux-en-Y gastric bypass surgery: Characteristics, risk factors, treatment, and outcomes. Endoscopy. 2011;43(11):950-4. doi: 10.1055/s-0030-1256951. [PubMed: 21997722].
  • 11. Csendes A, Torres J, Burgos AM. Late marginal ulcers after gastric bypass for morbid obesity. Clinical and endoscopic findings and response to treatment. Obes Surg. 2011;21(9):1319-22. doi: 10.1007/s11695-011-0429-7. [PubMed: 21725715].
  • 12. Felix EL, Kettelle J, Mobley E, Swartz D. Perforated marginal ulcers after laparoscopic gastric bypass. Surg Endosc. 2008;22(10):2128-32. doi: 10.1007/s00464-008-9996-7. [PubMed: 18553197].
  • 13. Wheeler AA, de la Torre RA, Fearing NM. Laparoscopic repair of perforated marginal ulcer following Roux-en-Y gastric bypass: a case series. J Laparoendosc Adv Surg Tech A. 2011;21(1):57-60. doi: 10.1089/lap.2010.0402. [PubMed: 21247305].

Featured Image:

Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments