Catastrophic Bleeding From a Marginal Ulcer After Gastric Bypass

Author: Sidani Shafik  

Publisher: Society of Laparoendoscopic Surgeons

ISSN: 1086-8089

Source: JSLS, Journal of the Society of Laparoendoscopic Surgeons, Vol.17, Iss.1, 2013-01, pp. : 148-151

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Abstract

Marginal ulceration at the gastrojejunal anastomosis is a common complication following Roux-Y gastric bypass (RYGB). Hemodynamically significant hemorrhagic marginal ulcers are usually treated either endoscopically or surgically. We describe a unique case of life-threatening hemorrhagic marginal ulcer eroding into the main splenic artery. This condition was initially managed with angiographic embolization, followed by surgical intervention.

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