Perforated ulcer at the gastrojejunostomy: Laparoscopic repair after Roux-en-Y gastric bypass

被引:7
|
作者
Bramkamp, Matthias [1 ]
Muller, Markus Karl [1 ]
Wildi, Stefan [1 ]
Clavien, Pierre Alan [1 ]
Weber, Markus [1 ]
机构
[1] Univ Zurich Hosp, Dept Visceral & Transplantat Surg, CH-8091 Zurich, Switzerland
关键词
morbid obesity; laparoscopic Roux-en-Y gastric bypass; stomal ulcer; gastric perforation; laparoscopic repair;
D O I
10.1381/096089206778870021
中图分类号
R61 [外科手术学];
学科分类号
摘要
A 44-year-old woman was admitted from the emergency department with severe acute upper abominal pain. The patient had undergone a laparoscopic Roux-en-Y gastric bypass (RYGBP) operation 16 months previously. CT scan showed intraabdominal free air. At emergency laparoscopic reoperation, a perforated ulcer at the gastrojejunostomy was found. This late complication of RYGBP can be a rapidly progressing life-threatening situation, and requires prompt treatment. Closure and omental patch were successful laparoscopically.
引用
收藏
页码:1545 / 1547
页数:3
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