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Late Stricture from Marginal Ulceration after Roux-en-Y Gastric Bypass: Endoscopic Complications and Surgical Management

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Author notes

  1. Tiffany Jian Ying Lye and Alvin K. H. Eng contributed equally to this work.

Authors and Affiliations

  1. Department of Upper Gastrointestinal and Bariatric Surgery, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore

    Tiffany Jian Ying Lye & Alvin K. H. Eng

Authors
  1. Tiffany Jian Ying Lye
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  2. Alvin K. H. Eng
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Correspondence to Tiffany Jian Ying Lye.

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Key Points

• Late GJ anastomotic strictures associated with marginal ulcers are difficult to treat and can be recalcitrant to endoscopic dilatation, with increased risks of perforation.

• Revision of the GJ anastomosis is the operation of choice for this adverse event, and should be performed expediently to minimize contamination and septic complications.

• Risk factor management to prevent marginal ulceration is important to reduce the rate of late strictures and other associated complications.

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Lye, T.J.Y., Eng, A.K.H. Late Stricture from Marginal Ulceration after Roux-en-Y Gastric Bypass: Endoscopic Complications and Surgical Management. OBES SURG 31, 5508–5509 (2021). https://doi.org/10.1007/s11695-021-05716-z

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  • DOI: https://doi.org/10.1007/s11695-021-05716-z

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