Harris Andrew, Chance Nathan, Fillerup Ian, Morrison Eric, Goethals Andrea
Internal Medicine, Oklahoma State University Medical Center, Tulsa, USA.
Obstetrics and Gynecology, McLaren Greater Lansing Hospital, Lansing, USA.
Cureus. 2024 Jun 16;16(6):e62496. doi: 10.7759/cureus.62496. eCollection 2024 Jun.
Peptic ulcer disease (PUD) affects approximately four million people worldwide. The most common etiologies of PUD are (H. pylori) infections, chronic nonsteroidal anti-inflammatory drug (NSAID) use, and smoking. A rare cause of ulcer formation is documented in patients following Roux-en-Y gastric bypass (RYGB) procedures. Delayed treatment of these ulcers can further lead to ulcer perforation, erosion of the gastroduodenal artery (GDA), and fistula formation between the biliary structures and the gastrointestinal tract. Herein, we discuss the case of a 69-year-old female with an ulcer perforation 19 years after RYGB, resulting in an atypical ulcer erosion of the common bile duct without fistula formation.
消化性溃疡病（PUD）在全球约影响400万人。PUD最常见的病因是幽门螺杆菌（H. pylori）感染、长期使用非甾体类抗炎药（NSAID）以及吸烟。胃旁路手术（RYGB）后患者出现溃疡形成的情况较为罕见。这些溃疡若延误治疗，可能进一步导致溃疡穿孔、胃十二指肠动脉（GDA）糜烂以及胆道结构与胃肠道之间形成瘘管。在此，我们讨论一例69岁女性患者，在接受RYGB手术19年后发生溃疡穿孔，导致胆总管出现非典型溃疡糜烂但未形成瘘管的病例。
