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 UNUSUAL CASE
Year : 2018  |  Volume : 14  |  Issue : 1  |  Page : 68-70

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


1 Department of Surgery, University of Medicine and Pharmacy Craiova, Craiova, Romania
2 Department of Surgery, Sant Pau Hospital, Barcelona, Spain

Correspondence Address:
Dr. Stefan Patrascu
Department of Surgery, University of Medicine and Pharmacy Craiova, 1 Tabaci Street, Craiova 200642
Romania
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_148_16

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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.






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