1058 Endoscopic Suturing for a Massively Bleeding Marginal Ulcer 10 Days Post Roux-En-Y Gastric Bypass

The postoperative marginal ulcer at the gastrojejunal (GJ) anastomosis is not uncommonly encountered post Roux-en-Y gastric bypass (RYGB). Reported incidence varies widely 0.6 to 16%. Most marginal ulcerations occur between 2 and 6 months postoperatively, with 95% occurring within 12 months. Ulcers can be due to reaction to foreign body such as non-absorbable sutures, staples, and implanted bands or mesh, local ischemia, micro insufficiency, bile acid reflux, tension on the Roux limb and Helicobacter pylori infection.

Source: Gastrointestinal Endoscopy - April 28, 2017 Category: Gastroenterology Authors: Sindhu Barola, Abhishek Agnihotri, Michael Schweitzer, Thomas Magnuson, Yen-I. Chen, Saowonee Ngamruengphong, Mouen A. Khashab, Vivek Kumbhari Tags: Oral abstract Source Type: research