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Obesity Surgery
Published in: Obesity Surgery 12/2008

01-12-2008 | Case Report

Perforated Duodenal Ulcer After Laparoscopic Gastric Bypass

Authors: Bart J. Gypen, Guy J. A. Hubens, Vera Hartman, Lee Balliu, Thièry C. G. Chapelle, Wouter Vaneerdeweg

Published in: Obesity Surgery | Issue 12/2008

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Abstract

A patient with a history of a laparoscopic gastric bypass presented with a perforated duodenal ulcer. The ulcer was laparoscopically oversewn, and an omentoplasty was performed. Postoperatively, a broad spectrum antibiotic and a proton pump inhibitor were administrated. Several questions arise regarding the diagnosis and treatment of duodenal ulcers after gastric bypass. What are the diagnostic tools to detect a duodenal ulcer, and how should Helicobacter pylori be diagnosed after gastric bypass? The key question is whether the bypassed stomach should be resected as a definitive treatment for complicated duodenal ulcers.
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Metadata
Title
Perforated Duodenal Ulcer After Laparoscopic Gastric Bypass
Authors
Bart J. Gypen
Guy J. A. Hubens
Vera Hartman
Lee Balliu
Thièry C. G. Chapelle
Wouter Vaneerdeweg
Publication date
01-12-2008
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 12/2008
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9530-y

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Farewell