Erschienen in:
01.12.2008 | Case Report
Perforated Duodenal Ulcer After Laparoscopic Gastric Bypass
verfasst von:
Bart J. Gypen, Guy J. A. Hubens, Vera Hartman, Lee Balliu, Thièry C. G. Chapelle, Wouter Vaneerdeweg
Erschienen in:
Obesity Surgery
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Ausgabe 12/2008
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Abstract
A patient with a history of a laparoscopic gastric bypass presented with a perforated duodenal ulcer. The ulcer was laparoscopically oversewn, and an omentoplasty was performed. Postoperatively, a broad spectrum antibiotic and a proton pump inhibitor were administrated. Several questions arise regarding the diagnosis and treatment of duodenal ulcers after gastric bypass. What are the diagnostic tools to detect a duodenal ulcer, and how should Helicobacter pylori be diagnosed after gastric bypass? The key question is whether the bypassed stomach should be resected as a definitive treatment for complicated duodenal ulcers.