ArticleAnnals of the Royal College of Surgeons of England2012
Phytobezoar: a rare cause of late upper gastrointestinal perforation following gastric bypass surgery.
Article in Annals of the Royal College of Surgeons of England, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 10 citations in OpenAlex.
- Late Jejunojejunal Perforation After Laparoscopic Roux-en-Y Gastric Bypass: A Systematic Narrative Review.Cureus · 2025Review
- Late anastomotic perforation of the ileum 3 years after intestinal resection.BMJ case reports · 2024Article
- Endoscopic shaving of hair in a gastric bypass patient with a large bezoar.BMJ case reports · 2017Review
- What Causes Late Perforation of the Jejuno-Jejunal Anastomosis After Roux-en-Y Gastric Bypass Surgery?Obesity surgery · 2015Article
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Authors and funding
3 authors at 2 institutions in 1 country.
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Abstract
Marginal ulcers are a well described complication following Roux-en-Y gastric bypass. These may be a cause for perforation. We describe a case of upper gastrointestinal perforation 18 months following a laparoscopic Roux-en-Y gastric bypass that appeared to be caused by a food bezoar. The perforation occurred at the site of the jejunojejunal anastomosis and was repaired after an exploratory laparotomy. After extracting the food debris (phytobezoar) through the perforation, direct closure resulted in an uneventful post-operative recovery. To our knowledge, this is the first description of a food bezoar causing an intestinal perforation in such a manor after bariatric surgery. Patients should be educated carefully on what and how to eat after having undergone surgery for superobesity.
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