Dai Lu, Shah Mihir M, Rosenblatt Steven
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio, USA.
Surgical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA.
BMJ Case Rep. 2018 Apr 5;2018:bcr-2017-222190. doi: 10.1136/bcr-2017-222190.
Ulcer perforation in the excluded stomach and duodenum is a rare complication after Roux-en-Y gastric bypass (RYGB). Pathogenesis of these ulcers are multifactorial. We report a case of perforated gastric remnant ulcer in a 54-year-old woman who had undergone a laparoscopic RYGB 5 years previously. The perforation was successfully repaired with an omental patch. We also present a review of the literature of similar cases.
胃旁路术后旷置的胃和十二指肠溃疡穿孔是一种罕见的并发症。这些溃疡的发病机制是多因素的。我们报告一例54岁女性患者,她在5年前接受了腹腔镜胃旁路手术,出现了胃残端溃疡穿孔。穿孔通过网膜补片成功修复。我们还对类似病例的文献进行了综述。