|   JOIN |  
Quiz
Bi-Weekly Quiz
List of the Quiz
역대 퀴즈상 수상자

List of the Quiz

| List of the Quiz
Home  > Quiz > List of the Quiz
ABDOMEN / GI tract general   65 / M,  Abdominal discomfort
2018-07-16
About Author
Authors Bohyun Kim
Institution Ajou University Hospital
E-mail baboojum@naver.com
About Case
Chief complaint
or Title
Abdominal discomfort
Subspecialty ABDOMEN / GI tract general
Classification Infection, Inflammation / ulceration
Age 65 Sex M
Difficulty For resident
Modality CT, Etc
Case Figures
Click above Figure for more images.
Questions
What is your diagnosis?
Answer
Diagnosis 3
Comments

Marginal ulcer is a well-known morbid complication following pancreaticoduodenectomy or pylorus-preserving pancreaticoduodenectomy, and more recently, gastric bypass for bariatric surgery. Approximately 0.6-16% of gastric bypass surgery patients develop marginal ulcers, in which 1/3 of them requiring revisional surgery.

 

The most accepted definition of marginal ulcer is ulceration on the jejunal aspect of the gastrojejunal anastomosis. As the jejunum does not have a buffering capability against the gastric acid, it is more vulnerable to form ulcers after a chronic exposure.

 

In the literature, the majority of patients present with upper GI complaints as well as ulcer disease-related complications such as GI bleeding, luminal stenosis, and even perforation.

 

Management of marginal ulcer consists of proton pump inhibitors and surgical revision reserved for perforated or retractable ulcers.

 

Reference

1. Marginal ulcer after Roux-en-Y gastric bypass: what have we really learned?. El-Hayek K, et al. Surg Endosc. 2012;26(10):2789-96

2. Imaging of bariatric surgery: normal anatomy and postoperative complications. Levine MS, et al. Radiology. 2014;270(2):327-41.

3. Cross-sectional imaging, with surgical correlation, of patients presenting with complications after remote bariatric surgery without bowel obstruction. Miao TL, et al. Abdom Imaging. 2015;40(8):2945-65.
References
Keywords ulcer
Attachment File -

Number of Applicants : 40
Correct Answer 40
Higashi-Ohmi General Medical Center Akitoshi Inoue
KSAR Dr K
서울대학교병원 Jeong Hee Yoon
Nagahama City Hospital Ryo Uemura
University of Tokyo Hospital Toshihiro Furuta
국제성모병원 강건우
서울아산병원 강지훈
서울대병원 강지희
서울아산병원 김경원
태안군보건의료원 김동욱
서울아산병원 김동환
서울아산병원 김수현
서울의료원 김여은
중앙보훈병원 김윤이
국군양주병원 김정우
중앙보훈병원 김주원
아산병원 김지훈
성빈센트병원 김현아
분당제생병원 김현진
중앙보훈병원 노지훈
단국대 박성준
서울의료원 박준
서울아산병원 박호영
서울아산병원 신용문
울산시티병원 신진호
서울아산병원 안유라
서울시보라매병원 우현식
서울대병원 유정인
삼성서울병원 윤유성
고대구로병원 이규정
서울아산병원 이승수
고대구로병원 이유경
군의관 임원형
중앙보훈병원 장성원
서울대학교병원 장시원
분당제생병원 최지영
아주대학교 병원 허지미
서울아산병원 홍상협
한림대성심병원 홍원주
성빈센트병원 황성수
대한복부영상의학회(대표: 정재준) 사업자등록번호: 121-82-71389 Tel: 02-3474-1983
서울시 서초구 서초중앙로 2길 21 더샵서초 103동 1103호 e-mail: office@ksar.kr
Copyright ⓒ 2000 by The Korean Society of Abdominal Radiology. All Rights Reserved.
* 본 사이트는 Internet Explorer 9 버전 이상에 최적화 되어 있습니다.