Perforated duodenal ulcers after Roux-Y Gastric Bypass

Denise Pohl; Gregoire Schmutz; Gabriel Plitzko; Dino Kröll; Philipp Nett; Yves Borbély

doi:10.1016/j.ajem.2018.04.057

Perforated duodenal ulcers after Roux-Y Gastric Bypass

Standard

Perforated duodenal ulcers after Roux-Y Gastric Bypass. / Pohl, Denise; Schmutz, Gregoire; Plitzko, Gabriel; Kröll, Dino; Nett, Philipp; Borbély, Yves.

in: AM J EMERG MED, Jahrgang 36, Nr. 8, 08.2018, S. 1525.e1-1525.e3.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Pohl, D, Schmutz, G, Plitzko, G, Kröll, D, Nett, P & Borbély, Y 2018, 'Perforated duodenal ulcers after Roux-Y Gastric Bypass', AM J EMERG MED, Jg. 36, Nr. 8, S. 1525.e1-1525.e3. https://doi.org/10.1016/j.ajem.2018.04.057

APA

Pohl, D., Schmutz, G., Plitzko, G., Kröll, D., Nett, P., & Borbély, Y. (2018). Perforated duodenal ulcers after Roux-Y Gastric Bypass. AM J EMERG MED, 36(8), 1525.e1-1525.e3. https://doi.org/10.1016/j.ajem.2018.04.057

Vancouver

Pohl D, Schmutz G, Plitzko G, Kröll D, Nett P, Borbély Y. Perforated duodenal ulcers after Roux-Y Gastric Bypass. AM J EMERG MED. 2018 Aug;36(8):1525.e1-1525.e3. https://doi.org/10.1016/j.ajem.2018.04.057

Bibtex

@article{b7930f7927534e27a8e6e01d337737f1,

title = "Perforated duodenal ulcers after Roux-Y Gastric Bypass",

abstract = "Even though the incidence of complicated peptic ulcer disease (PUD) has decreased in the last decades, it remains a condition with a significant mortality. Whilst diagnosis and treatment of PUD in morbidly obese patients can be challenging, patients with excluded segments - such as after Roux-Y Gastric Bypass (RYGB) - present an even greater problem, as the subsequent altered anatomy impedes the common modalities used for diagnostic and therapeutic measures. We report the cases of two patients after RYGB with perforated duodenal ulcers in the intention to highlight problems regarding diagnosis and treatment. Patients with perforation after RYGB usually present without signs of hollow organ perforation in clinical examination but also in computed tomography scans. Diagnostic laparoscopy was performed to address the discrepancy between pain and non-diagnostic examinations. An aggressive approach in case of unexplained symptoms in these patients is not only justified but mandatory.",

keywords = "Aged, Duodenal Ulcer/complications, Female, Gastric Bypass/adverse effects, Humans, Laparoscopy, Middle Aged, Obesity, Morbid/surgery, Peptic Ulcer Perforation/diagnostic imaging, Postoperative Complications/diagnostic imaging, Reoperation, Tomography, X-Ray Computed",

author = "Denise Pohl and Gregoire Schmutz and Gabriel Plitzko and Dino Kr{\"o}ll and Philipp Nett and Yves Borb{\'e}ly",

year = "2018",

month = aug,

doi = "10.1016/j.ajem.2018.04.057",

language = "English",

volume = "36",

pages = "1525.e1--1525.e3",

journal = "AM J EMERG MED",

issn = "0735-6757",

publisher = "W.B. Saunders Ltd",

number = "8",

}

RIS

TY - JOUR

T1 - Perforated duodenal ulcers after Roux-Y Gastric Bypass

AU - Pohl, Denise

AU - Schmutz, Gregoire

AU - Plitzko, Gabriel

AU - Kröll, Dino

AU - Nett, Philipp

AU - Borbély, Yves

PY - 2018/8

Y1 - 2018/8

N2 - Even though the incidence of complicated peptic ulcer disease (PUD) has decreased in the last decades, it remains a condition with a significant mortality. Whilst diagnosis and treatment of PUD in morbidly obese patients can be challenging, patients with excluded segments - such as after Roux-Y Gastric Bypass (RYGB) - present an even greater problem, as the subsequent altered anatomy impedes the common modalities used for diagnostic and therapeutic measures. We report the cases of two patients after RYGB with perforated duodenal ulcers in the intention to highlight problems regarding diagnosis and treatment. Patients with perforation after RYGB usually present without signs of hollow organ perforation in clinical examination but also in computed tomography scans. Diagnostic laparoscopy was performed to address the discrepancy between pain and non-diagnostic examinations. An aggressive approach in case of unexplained symptoms in these patients is not only justified but mandatory.

AB - Even though the incidence of complicated peptic ulcer disease (PUD) has decreased in the last decades, it remains a condition with a significant mortality. Whilst diagnosis and treatment of PUD in morbidly obese patients can be challenging, patients with excluded segments - such as after Roux-Y Gastric Bypass (RYGB) - present an even greater problem, as the subsequent altered anatomy impedes the common modalities used for diagnostic and therapeutic measures. We report the cases of two patients after RYGB with perforated duodenal ulcers in the intention to highlight problems regarding diagnosis and treatment. Patients with perforation after RYGB usually present without signs of hollow organ perforation in clinical examination but also in computed tomography scans. Diagnostic laparoscopy was performed to address the discrepancy between pain and non-diagnostic examinations. An aggressive approach in case of unexplained symptoms in these patients is not only justified but mandatory.

KW - Aged

KW - Duodenal Ulcer/complications

KW - Female

KW - Gastric Bypass/adverse effects

KW - Humans

KW - Laparoscopy

KW - Middle Aged

KW - Obesity, Morbid/surgery

KW - Peptic Ulcer Perforation/diagnostic imaging

KW - Postoperative Complications/diagnostic imaging

KW - Reoperation

KW - Tomography, X-Ray Computed

U2 - 10.1016/j.ajem.2018.04.057

DO - 10.1016/j.ajem.2018.04.057

M3 - SCORING: Journal article

C2 - 29716802

VL - 36

SP - 1525.e1-1525.e3

JO - AM J EMERG MED

JF - AM J EMERG MED

SN - 0735-6757

IS - 8

ER -