Journal of Minimal Access Surgery

UNUSUAL CASE
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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

Stefan Patrascu1, Carmen Balague Ponz2, Sonia Fernandez Ananin2, Eduardo M. Targarona Soler2 
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

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.


How to cite this article:
Patrascu S, Ponz CB, Ananin SF, Soler EM. A delayed acute complication of bariatric surgery: Gastric remnant haemorrhagic ulcer after Roux-en-Y gastric bypass.J Min Access Surg 2018;14:68-70


How to cite this URL:
Patrascu S, Ponz CB, Ananin SF, Soler EM. A delayed acute complication of bariatric surgery: Gastric remnant haemorrhagic ulcer after Roux-en-Y gastric bypass. J Min Access Surg [serial online] 2018 [cited 2020 Dec 1 ];14:68-70
Available from: https://www.journalofmas.com/article.asp?issn=0972-9941;year=2018;volume=14;issue=1;spage=68;epage=70;aulast=Patrascu;type=0