Degastrectomy without vagotomy for perforated gastric stump ulcer and complete dehiscence of previous anastomosis in subtotal Roux-en-Y gastrectomy
Vol. 1 No. 1 (2022), Artigos
Vol. 1 No. 1 (2022)

Degastrectomy without vagotomy for perforated gastric stump ulcer and complete dehiscence of previous anastomosis in subtotal Roux-en-Y gastrectomy

Artigos
https://doi.org/10.37497/JMRReview.v1i1.8
Published 2022-11-09
Marcelo Fiusa Antunes Silva
Colégio Brasileiro de Cirurgia Digestiva, Sorocaba, São Paulo
Jurandir Marcondes Ribas Filho
Colégio Brasileiro de Cirurgia Digestiva, Curitiba, Paraná
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Keywords

RYGB
Degastrectomy
Gastric Ulcer
Dehiscence

How to Cite

Antunes Silva, M. F., & Ribas Filho, J. M. (2022). Degastrectomy without vagotomy for perforated gastric stump ulcer and complete dehiscence of previous anastomosis in subtotal Roux-en-Y gastrectomy. Journal of Medical Residency Review, 1(1), e0229. https://doi.org/10.37497/JMRReview.v1i1.8
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Abstract

Background: Two of the main complications of Roux-en-Y gastric bypass (RYGB) are anastomoses dehiscence and marginal ulcerations, although the association between the two is considered rare. Aim: To report a case of degastrectomy without vagotomy performed in our Service due to a perforated gastric stump ulcer and complete dehiscence of the anastomosis after RYGB. Case Report: This is a patient treated at the Emergency Department of the General Surgery and Digestive System of Santa Casa de Sorocaba - SP. The patient had undergone an RYGB and, six months after the surgery, his gastric stump presented a perforating ulcer, and his anastomosis had a complete dehiscence. The resolution was based on performing a degastrectomy without vagotomy. After the procedure, the patient recovered well and was discharged seven days after the surgery. Ultrasonography and computed tomography were essential for the diagnosis of the complication. Conclusion: Degastrectomy is a highly efficient surgical option for perforating gastric stump ulceration with anastomotic dehiscence, and should be performed urgently for the best prognosis.

https://doi.org/10.37497/JMRReview.v1i1.8
PDF (Português (Brasil))

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