Laparoscopic revision of gastrojejunostomy revision with truncal vagotomy for persistent marginal ulcer after Roux-en-Y gastric bypass.

摘要

The incidence of marginal ulcer formation after Roux-en-Y gastric bypass (RYGB) has been 1-16% [1]. Most patients will respond well to medical therapy and behavioral modifications; however, occasionally, surgery will be required for patients with persistent symptoms and ulceration. Revision of the gastrojejunostomy alone can lead to recurrent ulcer formation. Therefore, in cases in which the cause of the ulcer is unclear, adding a truncal vagotomy at the revision can help to prevent marginal ulcer recurrence.