Delayed massive bleeding two years after Roux-en-Y gastric bypass

Delayed massive bleeding from an ischemic ulcer is a complication after Roux-en-Y gastric bypass (RYGB). Ischemic ulcers that present with massive bleeding are rare and challenging for the gastroenterologist as well as the bariatric surgeon. This report reviews the case of a 63-year-old man who unde...

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Bibliographic Details
Published in:Journal of the Society of Laparoendoscopic Surgeons 2013-07, Vol.17 (3), p.476-480
Main Authors: Coblijn, Usha K, Lagarde, Sjoerd M, Tuynman, Jurriaan B, van Meyel, Juup J M, van Wagensveld, Bart A
Format: Article
Language:English
Subjects:
Case Reports
Gastric Bypass
Gastrointestinal Hemorrhage - surgery
Humans
Male
Middle Aged
Obesity, Morbid - surgery
Postoperative Complications - surgery
Time Factors
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Summary:Delayed massive bleeding from an ischemic ulcer is a complication after Roux-en-Y gastric bypass (RYGB). Ischemic ulcers that present with massive bleeding are rare and challenging for the gastroenterologist as well as the bariatric surgeon. This report reviews the case of a 63-year-old man who underwent an uncomplicated laparoscopic RYGB for morbid obesity and experienced two episodes of massive hemorrhage after the procedure, almost 1 year apart. To our knowledge, there are only a few such specific cases reported. Here, we describe the treatment and outcome for such a case and present a review of the literature.
ISSN:1086-8089
1938-3797
DOI:10.4293/108680813x13693422518470