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Obesity Surgery
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13-02-2024 | Acute Abdomen | Brief Communication

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

Authors: Osama A. Elhardello, Mohammad N. Athamnah, Gaber H. ElSeify

Published in: Obesity Surgery | Issue 3/2024

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Abstract

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.
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Metadata
Title
Perforated Ischemic Ulcer at the Jejuno-Jejunal Anastomosis 9 Years Post-laparoscopic Roux-en-Y Gastric Bypass—a Case Report
Authors
Osama A. Elhardello
Mohammad N. Athamnah
Gaber H. ElSeify
Publication date
13-02-2024
Publisher
Springer US
Published in
Obesity Surgery / Issue 3/2024
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-024-07088-6

Other articles of this Issue 3/2024

Bariatric Surgery Improves Cognition Function in the Patients with Obesity: A Meta-Analysis

First Assistant In Bariatric Surgery: A Comparison Between Laparoscopic And Robotic Approaches: A 4-Year Analysis of the MBSAQIP Database (2016–2019)

Innovative Endoscopic Approach for Staple Line Leaks Following Sleeve Gastrectomy: Promising Outcomes with Considerable Concerns

Quality of Life in Patients Undergoing Revisional Bariatric Surgery: From Sleeve Gastrectomy to Roux-en-Y Gastric Bypass

Patient’s Preference for Same-Day Discharge or Hospitalization After Bariatric Surgery

Clinical Management of Major Postoperative Bleeding After Bariatric Surgery

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