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01-09-2018 | Brief Communication

Lack of Diagnosis of Pneumoperitoneum in Perforated Duodenal Ulcer After RYGB: a Short Case Series and Review of the Literature

Authors: Jonathan Zagzag, Noah Avram Cohen, George Fielding, John Saunders, Prashant Sinha, Manish Parikh, Paresh Shah, Nicole Hindman, Christine Ren-Fielding

Published in: Obesity Surgery | Issue 9/2018

Abstract

Perforated duodenal ulcer following RYGB is an unusual clinical situation that may be a diagnostic challenge. Only 23 cases have previously been reported. We present five cases. The hallmark of visceral perforation, namely pneumoperitoneum, was not seen in three of the four cases that underwent cross sectional imaging. This is perhaps due to the altered anatomy of the RYGB that excludes air from the duodenum. Our cases had more free fluid than expected. The bariatric surgeon should not wait for free intraperitoneal air to suspect duodenal perforation after RYGB.

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Title: Lack of Diagnosis of Pneumoperitoneum in Perforated Duodenal Ulcer After RYGB: a Short Case Series and Review of the Literature
Authors: Jonathan Zagzag
Noah Avram Cohen
George Fielding
John Saunders
Prashant Sinha
Manish Parikh
Paresh Shah
Nicole Hindman
Christine Ren-Fielding
Publication date: 01-09-2018
Publisher: Springer US
Published in: Obesity Surgery / Issue 9/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-018-3321-x

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Lack of Diagnosis of Pneumoperitoneum in Perforated Duodenal Ulcer After RYGB: a Short Case Series and Review of the Literature

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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