Perforated Ischemic Ulcer at the Jejuno-Jejunal Anastomosis 9 Years Post-laparoscopic Roux-en-Y Gastric Bypass-a Case Report.

Autor: Elhardello OA; General Surgery Department, Al Salam Al Assima Hospital, Kuwait, Kuwait., Athamnah MN; General Surgery Department, Al Salam Al Assima Hospital, Kuwait, Kuwait. mathamneh85@gmail.com., ElSeify GH; General Surgery Department, Al Salam Al Assima Hospital, Kuwait, Kuwait.
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2024 Mar; Vol. 34 (3), pp. 1045-1048. Date of Electronic Publication: 2024 Feb 13.
DOI: 10.1007/s11695-024-07088-6
Abstrakt: Background: Obesity is a common disease among Kuwaitis. Multiple types of bariatric procedures are offered in Kuwait. R-Y gastric bypass is among the common surgeries performed. Early and late complications must be recognized as early as possible to avoid undesirable consequences.
Case Presentation: Here, we present a case of a 48-year-old lady presented as acute abdominal pain and diagnosed as Jejuno-Jejunal anastomosis site ulceration / perforation taking place several years from surgery.
Discussion: Etiology of late perforation can be attributed to ischemia. Computerized tomography (C.T.) scan is the gold standard for diagnosis. Management can be laparoscopic or open surgery depending on surgeon expertise. We performed a laparoscopic resection for the extended perforated jejunal recess and that was enough to resolve our patient's problem.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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