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

Author: Bramkamp M, Muller MK, Wildi S, Clavien PA, Weber M

Author affiliation: Department of Visceral and Transplantation Surgery, University Hospital Zurich, Switzerland.

Publication date & source: 2006.11, Obes Surg., 16(11):1545-7.

Publication type: Case Reports

A 44-year-old woman was admitted from the emergency department with severe acute upper abdominal 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.