ArticleSurgical endoscopy2013
Omental patch repair effectively treats perforated marginal ulcer following Roux-en-Y gastric bypass.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 54 citations in OpenAlex.
- Marginal Ulcers After Roux-en-Y Gastric Bypass: Patterns of Care, Treatment, and Outcomes from a Tertiary Referral Center.Obesity surgery · 2026Article
- Perforated marginal ulcers - what are the surgical options - simple closure or is definitive surgery needed? A case report.International journal of surgery case reports · 2026Article
- Retrospective Study on Various Surgical Approaches for Gastric Ulcer Perforation. A Comparative Study.Journal of pharmacy & bioallied sciences · 2025Article
- Simultaneous Occurrence of Two Perforated Marginal Ulcer After Roux-en-Y Gastric Bypass Without Any Risk Factor.Obesity surgery · 2024Article
- Marginal Ulcers after Roux-en-Y Gastric Bypass: Etiology, Diagnosis, and Management.Journal of clinical medicine · 2023Review
- Marginal ulcers and associated risk factors after Roux-en-Y gastric bypass.Proceedings (Baylor University. Medical Center) · 2023Article
- Oral drug dosing following bariatric surgery: General concepts and specific dosing advice.British journal of clinical pharmacology · 2021Review
- Perforated gastric ulcer post mini gastric bypass treated by laparoscopy: A case report.Annals of medicine and surgery (2012) · 2020Article
- Marginal ulcer continues to be a major source of morbidity over time following gastric bypass.Surgical endoscopy · 2019Article
- Metabolic Surgery as a Treatment Option for Type 2 Diabetes Mellitus: Surgical View.Current diabetes reports · 2018Review
- Managing a Positive Air-Leak Test During a Gastrojejunostomy Revision.Obesity surgery · 2018Article
- The natural history of perforated marginal ulcers after gastric bypass surgery.Surgical endoscopy · 2018Article
- Marginal ulcer perforation: a single center experience.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017Article
- Perforated peptic ulcer - an update.World journal of gastrointestinal surgery · 2017Review
- Essential bariatric emergencies for the acute care surgeon.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Review
- Perforated peptic ulcer.Lancet (London, England) · 2015Review
- Intraoperative Endoscopy Decreases Postoperative Complications in Laparoscopic Roux-en-Y Gastric Bypass.Obesity surgery · 2015Article
- Diagnosis and Management of Perforated Duodenal Ulcers following Roux-En-Y Gastric Bypass: A Report of Two Cases and a Review of the Literature.Case reports in surgery · 2015Article
- Gastrojejunal Anastomosis Complications and Their Management after Laparoscopic Roux-en-Y Gastric Bypass.Journal of obesity · 2015Article
- An evidence-based algorithm for the management of marginal ulcers following Roux-en-Y gastric bypass.Obesity surgery · 2014Review
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMarginal ulcer formation remains a significant complication of Roux-en-Y gastric bypass (RYGB). Up to 1 % of all RYGB patients will develop free perforation of a marginal ulcer. Classically, this complication has required anastomotic revision; however, this approach is associated with significant morbidity. Several small series have suggested that omental patch repair may be effective. The aim of this study was to examine the management of perforated marginal ulcers following RYGB.
methodsAll patients who underwent operative intervention for perforated ulcers between 2003 and 2011 were reviewed. Those with a history of RYGB with perforation of a marginal ulcer were included in the analysis. Data collected included operative approach, operative time, blood loss, length of hospital stay, complications, smoking history, and steroid or NSAID use.
resultsFrom January 2003 to December 2011, a total of 1,760 patients underwent RYGB at our institution. Eighteen (0.85 %) developed perforation of a marginal ulcer. Three patients' original procedure was performed at another institution. Eight patients (44 %) had at least one risk factor for ulcer formation. Treatment included omental patch repair (laparoscopic, n = 7; open, n = 9) or anastomotic revision (n = 2). Compared to anastomotic revision, omental patch repair had shorter OR time (101 ± 57 vs. 138 ± 2 min), decreased estimated blood loss (70 ± 72 vs. 250 ± 71 mL), and shorter total length of stay (5.6 ± 1.4 vs. 11.0 ± 5.7 days).
conclusionsPerforated marginal ulcer represents a significant complication of RYGB. Patients should be educated to reduce risk factors for perforation, as prolonged proton pump inhibitor therapy may not prevent this complication in a patient with even just one risk factor. In our sample population we found laparoscopic or open omental patch repair to be a safe and effective treatment for this condition and it was associated with decreased operative time, blood loss, and length of stay.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.