alexa Acute Perforated Duodenal Ulcer After Laparoscopic Gastric Bypass | 6787
ISSN: 2161-1076

Surgery: Current Research
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Acute perforated duodenal ulcer after laparoscopic gastric bypass

International Conference and Exhibition on Surgery, Anesthesia & Trichology

Roger Polo, Pereira. F L, Campos.A S, Volpon. B. N, Valle.M. A and Silva.A. L. P

ScientificTracks Abstracts: Surgery Curr Res

DOI: 10.4172/2161-1076.S1.005

Abstract
The Roux-en-Y gastric bypass (RYGB) is the most used surgical technique for the treatment of morbid obesity with mortality well established 0,22%. The laparoscopic approach is safe to perform the RYGB. Case Report: Male, 28 years old, 178kg, 186cm height, 51.45 BMI and no comorbidities. Laparoscopic RYGB performed, without complications, abdominal drainage tube placed by counter-opening, over the gastroenteroanatomosis. At 4 th day post operative (PO) it was presented a low output fistula, started total parenteral nutrition. 15 th PO day patient had a voluntary ingestion of large amount of water. 17 th PO night sweats,marked leukocytosis with a left shift. 18 th PO performed CT scan abdomen showing peri-hepatic fluid, during exploratory laparotomy, noted the presence of perforated duodenal ulcer of 2.5 cm diameter anterior wall of the 1 st portion of the duodenum. At 19 th PO ICU, focus abdominal septic shock and death. Peptic ulcer in the excluded segment after RYGB has been reported in 17 cases in the literature, all in open techniques. The incidence of duodenal ulcer, up to 19 years after RYGB is approximately 0.25%. The time between RYGB and ulcer perforation ranged from 20 days to 12 years. Six patients were previously reported in the literature with 33% mortality. There is one case of acute perforated duodenal ulcer after RYGB open, with 3 weeks postoperatively. So far has not been demonstrated another similar case reported in the literature, setting this as the first case report of Perforated Duodenal Ulcer after Laparoscopic Gastric Bypass.
Biography
Leave Your Message 24x7
Top