Ulcer Disease in the Excluded Segments after Roux-en-Y Gastric Bypass: a Current Review of the Literature.

Plitzko, Gabriel Andreas; Schmutz, Grégoire; Kröll, Dino; Nett, Philipp C.; Borbély, Yves (2021). Ulcer Disease in the Excluded Segments after Roux-en-Y Gastric Bypass: a Current Review of the Literature. Obesity surgery, 31(3), pp. 1280-1289. Springer-Verlag 10.1007/s11695-020-05123-w

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Ulcer disease in excluded segments after Roux-Y gastric bypass (RYGB) is rare but can evolve into a life-threatening situation. The excluded segments exhibit a different behavior from that of non-altered anatomy; perforated ulcers do not result in pneumoperitoneum or free fluid, and therefore must be met with a low threshold for surgical exploration. The anatomical changes after RYGB impede routine access to the remnant stomach and duodenum. There are various options to address bleeding or perforated ulcers. While oversewing and drainage preserves the anatomy and forgoes resection, remnant gastrectomy offers a definitive solution. The importance of traditional risk factors such as smoking or use of non-steroidal anti-inflammatory drugs is unclear. Eradication of Helicobacter pylori and secondary prophylaxis with proton-pump inhibitors is advisable, albeit in double-dose.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine

UniBE Contributor:

Plitzko, Gabriel Andreas; Schmutz, Grégoire; Kröll, Dino; Nett, Philipp C. and Borbély, Yves Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0960-8923

Publisher:

Springer-Verlag

Language:

English

Submitter:

Rahel Fuhrer

Date Deposited:

21 Dec 2020 13:32

Last Modified:

03 Mar 2021 01:33

Publisher DOI:

10.1007/s11695-020-05123-w

PubMed ID:

33230760

Uncontrolled Keywords:

Anti-inflammatory agents Gastric remnant Gastritis Gastrostomy Hemorrhage Morbid obesity Non-steroidal anti-inflammatory drugs Peptic ulcer perforation Roux-Y gastric bypass

BORIS DOI:

10.7892/boris.149973

URI:

https://boris.unibe.ch/id/eprint/149973

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