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Obesity Surgery
Published in: Obesity Surgery 2/2014

01-02-2014 | Review Article

Development of Ulcer Disease After Roux-en-Y Gastric Bypass, Incidence, Risk Factors, and Patient Presentation: A Systematic Review

Authors: Usha K. Coblijn, Amin B. Goucham, Sjoerd M. Lagarde, Sjoerd D. Kuiken, Bart A. van Wagensveld

Published in: Obesity Surgery | Issue 2/2014

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Abstract

Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the gold standard in bariatric surgery. A long-term complication can be marginal ulceration (MU) at the gastrojejunostomy. The mechanism of development is unclear and symptoms vary. Management and prevention is a continuous subject of debate. The aim was to assess the incidence, mechanism, symptoms, and management of MU after LRYGB by means of a systematic review. Forty-one studies with a total of 16,987 patients were included, 787 (4.6 %) developed MU. The incidence of MU varied between 0.6 and 25 %. The position and size of the pouch, smoking, and nonsteroidal inflammatory drugs usage are associated with the formation of MU. In most cases, MU is adequately treated with proton pump inhibitors, sometimes reoperation is required. Laparoscopic approach is safe and effective.
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Metadata
Title
Development of Ulcer Disease After Roux-en-Y Gastric Bypass, Incidence, Risk Factors, and Patient Presentation: A Systematic Review
Authors
Usha K. Coblijn
Amin B. Goucham
Sjoerd M. Lagarde
Sjoerd D. Kuiken
Bart A. van Wagensveld
Publication date
01-02-2014
Publisher
Springer US
Published in
Obesity Surgery / Issue 2/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-013-1118-5

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