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World J Gastrointest Endosc. Dec 16, 2014; 6(12): 625-629
Published online Dec 16, 2014. doi: 10.4253/wjge.v6.i12.625
Published online Dec 16, 2014. doi: 10.4253/wjge.v6.i12.625
Life threatening bleeding from duodenal ulcer after Roux-en-Y gastric bypass: Case report and review of the literature
Arpad Ivanecz, Stojan Potrč, Department of Abdominal and General Surgery, University Medical Center Maribor, 2000 Maribor, Slovenia
Marko Sremec, Faculty of Medicine, University of Maribor, 2000 Maribor, Slovenia
Davorin Ćeranić, Pavel Skok, Department of Gastroenterology, University Medical Center Maribor, 2000 Maribor, Slovenia
Author contributions: Ivanecz A and Sremec M wrote the manuscript; Ćeranić D, Potrč S and Skok P contributed for design; Ivanecz A and Skok P contributed for interpretation of data and editing the manuscript.
Correspondence to: Pavel Skok, Professor, MD, PhD, Department of Gastroenterology, University Medical Center Maribor, Ljubljanska ulica 5, 2000 Maribor, Slovenia. pavel.skok@guest.arnes.si
Telephone: +386-2-3212682 Fax: +386-2-3312393
Received: May 28, 2014
Revised: October 15, 2014
Accepted: October 28, 2014
Published online: December 16, 2014
Processing time: 204 Days and 17.3 Hours
Revised: October 15, 2014
Accepted: October 28, 2014
Published online: December 16, 2014
Processing time: 204 Days and 17.3 Hours
Core Tip
Core tip: Bleeding duodenal ulcer after Roux-en-Y gastric bypass for morbid obesity is a rare, but life threatening situation. Anatomic rearrangement after bariatric operation prevents upper endoscopy from displaying stomach remnant, duodenum, and proximal jejunum. The bleeding duodenal ulcer was identified at emergency laparotomy by intraoperative endoscopy through gastrotomy. After surgical hemostasis, duodenal ulcer excision and completion of the remnant gastrectomy the postoperative course was uneventful.