Marginal Ulcer: Diagnosis and Treatment

Tian, Yun; Rogers, Ann M.

doi:10.1007/978-3-319-98497-1_200

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“…However, gastrojejunal anastomoses are inherently ulcerogenic due to exposure of intestinal mucosa to gastric acid unopposed by pancreatic secretions. Marginal ulcers occur in up to 16 % of patients after Roux-en-Y gastrojejunostomy and may be associated with significant morbidity [ 5 ]. In addition, our patient had additional risk factors, including H. pylori colonization, smoking, malnutrition, and non-compliance with follow up which all contributed to development of a marginal ulcer and subsequent fistula.…”

Section: Discussionmentioning

confidence: 99%