Perforated One Anastomosis Gastric Bypass, How we Managed and Review of Literature

Hayder      Al-Masari; Heba      Nofal; Tarek      Mahdy; Reham       Ainawi; Marwan      Rashed

Abstract

Marginal ulcer formation remains a common complication of the one anastomosis gastric bypass procedure, where the ulcer can further perforate and present as peritonitis. Although this is uncommon, it is considered one of the life-threatening sequelae associated with this surgery. We report here two different cases of perforated marginal ulcers, presented months after the procedure with an acute abdomen, and discuss the surgical management using the laparoscopic approach to repair the perforation.

Keywords: Anastomosis, Mini gastric bypass, Morbid obesity, Marginal ulcer, Anastomotic perforation, Laparoscopic.