Hughes Lauren, Morris Maryam, Que Bryton, Rai Geetan, Jorge Juaquito, Tiesenga Frederick
Medical School, Saint James School of Medicine - Anguilla Campus, The Quarter, AIA.
General Surgery, West Suburban Hospital Center, Oak Park, USA.
Cureus. 2023 Feb 17;15(2):e35112. doi: 10.7759/cureus.35112. eCollection 2023 Feb.
Obesity is a growing health concern worldwide, with bariatric surgeries such as gastric bypass providing an effective treatment choice. However, a rare complication of gastric bypass is a duodenal ulcer. Currently, there is no exact incidence of this complication, and only a few case reports have been published in the literature. Presented is a case of a 32-year-old patient, eight years status post gastric bypass, who was evaluated for surgical repair of a large anterior perforated duodenal ulcer. This case report explores the relationship between patient history and gastric bypass surgery in the case of duodenal ulcer formation and perforation, as well as the diagnostic difficulty and modalities for duodenal ulcers in post-gastric bypass patients.
肥胖是全球日益严重的健康问题，诸如胃旁路手术等减肥手术提供了一种有效的治疗选择。然而，胃旁路手术的一种罕见并发症是十二指肠溃疡。目前，这种并发症的确切发生率尚不清楚，文献中仅发表了少数病例报告。本文介绍了一例32岁患者，在接受胃旁路手术八年后，因大型十二指肠前壁穿孔接受手术修复评估。本病例报告探讨了十二指肠溃疡形成和穿孔病例中患者病史与胃旁路手术之间的关系，以及胃旁路术后患者十二指肠溃疡的诊断难点和诊断方法。
