ArticleObesity surgery2015
Symptomatic marginal ulcer disease after Roux-en-Y gastric bypass: incidence, risk factors and management.
Article in Obesity surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.
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Who cites it
52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 114 citations in OpenAlex.
- Effect of Helicobacter pylori infection on metabolic and bariatric surgical complications: a systematic review and meta-analysis.Updates in surgery · 2025Pooled it
- Bibliometric and visualisation analyses of gastric ulcer knowledge areas and emerging trends, 2004-2024.Frontiers in medicine · 2025Pooled it
- Safety of Non-steroidal Anti-inflammatory Drugs as Part of Enhanced Recovery After Laparoscopic Sleeve Gastrectomy-A Systematic Review and Meta-Analysis.Obesity surgery · 2024Pooled it
- Predictors of marginal ulcer after gastric bypass: a systematic review and meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Pooled it
- The Use of Intraperitoneal Bupivacaine in Laparoscopic Roux-en-Y Gastric Bypass: a Double-blind, Randomized Controlled Trial.Obesity surgery · 2019Trial
- A multihit cascade of late complications after Roux-en-Y gastric bypass leading to refractory malnutrition: a case report.International journal of surgery case reports · 2026Article
- Marginal Ulcers After Roux-en-Y Gastric Bypass: Patterns of Care, Treatment, and Outcomes from a Tertiary Referral Center.Obesity surgery · 2026Article
- Anatomical Alterations and Endoscopic Strategies After Upper Gastrointestinal Surgery.The Korean journal of helicobacter and upper gastrointestinal research · 2025Review
- Endoscopic jejunal flap suturing for the treatment of refractory marginal ulcers-a case series.Surgical endoscopy · 2025Article
- Bariatric Surgery and Lung Transplant Outcomes: Case Series and Insights from a Propensity-Matched Analysis at a High-Volume Transplant Center.Obesity surgery · 2025Article
- Successful resolution of refractory marginal ulcer with celiac artery stenting.Clinical journal of gastroenterology · 2025Article
- Perforated marginal ulceration in the setting of single anastomosis duodeno-ileal switch (SADI-S) with conversion to Roux-en-Y gastric bypass and literature review.Journal of surgical case reports · 2025Article
- The Relevance of Gastroscopy in the Diagnostic Work-up for Marginal Ulceration in Patients Presenting with Abdominal Pain Following Laparoscopic Roux-en-Y Gastric Bypass.Obesity surgery · 2025Article
- Similar Rates of Symptomatic Marginal Ulcers After One-Anastomosis-Gastric Bypass Compared to Roux-en-Y Gastric Bypass.Obesity surgery · 2024Article
- Early Marginal Ulcer After Roux-en-Y Gastric Bypass: MBSAQIP Database Analysis of Trends and Predictive Factors.Obesity surgery · 2024Article
- Intra-Operative Upper GI Endoscopy Helps to Identify the Gastro-Jejunostomy Perforation Site in Roux-en-Y Gastric Bypass Patient.Obesity surgery · 2024Article
- Marginal Ulcers Following Roux-en-Y Gastric Bypass, Expect the Unexpected: a Video Case Series.Obesity surgery · 2024Article
- Marginal Ulcers after Roux-en-Y Gastric Bypass: Etiology, Diagnosis, and Management.Journal of clinical medicine · 2023Review
- Increased incidence of marginal ulceration following conversion of sleeve gastrectomy to Roux-en-Y gastric bypass: a multi-institutional experience.Surgical endoscopy · 2023Article
- Acute perforation in a gastrojejunocolic fistula after a laparascopic Roux-en-Y gastric bypass: case report.Surgical case reports · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOne of the long-term complications of laparoscopic Roux-and-Y gastric bypass (LRYGB) is the development of marginal ulcers (MU). The aim of the present study is to assess the incidence, risk factors, symptomatology and management of patients with symptomatic MU after LRYGB surgery.
methodsA consecutive series of patients who underwent a LRYGB from 2006 until 2011 were evaluated in this study. Signs of abdominal pain, pyrosis, nausea or other symptoms of ulcer disease were analysed. Acute symptoms of (perforated) MU such as severe abdominal pain, vomiting, melena and haematemesis were also collected. Patient baseline characteristics, medication and intoxications were recorded. Statistical analysis was performed to identify risk factors associated with MU.
resultsA total of 350 patients underwent a LRYGB. Minimal follow-up was 24 months. Twenty-three patients (6.6%) developed a symptomatic MU of which four (1.1%) presented with perforation. Smoking, the use of corticosteroids and non-steroidal anti-inflammatory drugs (NSAIDs) was significantly associated with the development of MU. Five out of 23 patients (22%) underwent surgery. All other patients could be treated conservatively.
conclusionsMarginal ulcers occurred in 6.6% of the patients after a LRYGB. Smoking, the use of corticosteroids and the use of NSAIDs were associated with an increased risk of MU. Most patients were managed conservatively.
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