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Perforated Marginal Ulcer After Gastric Bypass

NCT01041196 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 30

Last updated 2010-01-01

No results posted yet for this study

Summary

A common late complication after gastric bypass surgery is marginal ulceration that is defined as ulcers at the margins of the gastrojejunostomy, mostly on the jejunal side. Most marginal ulcers respond to medical therapy and complicated or complex ulcer disease warrants operative intervention; specifically, perforated, penetrated, obstructing, bleeding and intractable marginal ulcers require surgical intervention.

Diverse operative strategies for addressing perforated marginal ulcers after gastric bypass have been described including I) Omental (Graham) patch repair, II) Revision of gastrojejunostomy, III) Irrigation and drainage, IV) any previous procedure with truncal vagotomy, V) Esophagojejunostomy, and VI) Reversal. We formally analyze our experience with the laparoscopic resection and repair of acutely perforated marginal ulcers after Roux-en-Y gastric bypass (RYGB), with or without concomitant resolution of technical risk factors for marginal ulceration.

Conditions

  • Ulcer Disease After Gastric Bypass
  • Marginal Ulcer
  • Perforated Marginal Ulcer
  • Acutely Perforated Marginal Ulcer

Sponsors & Collaborators

Principal Investigators

  • Francisco M Tercero, MD · Research Associate, University of California San Francisco

  • Kelvin D Higa, MD · Professor of Surgery, University of California San Francisco

Eligibility

Min Age
18 Years
Max Age
65 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2009-01-31
Primary Completion
2009-01-31
Completion
2009-12-31

Countries

  • United States

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT01041196 on ClinicalTrials.gov