Perforated Marginal Ulcer After Gastric Bypass
Completed
Conditions studied: Ulcer Disease After Gastric Bypass, Marginal Ulcer, Perforated Marginal Ulcer, Acutely Perforated Marginal Ulcer
In brief
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.
Key facts
- Study ID
- NCT01041196
- Run by
- University of California, San Francisco
- People needed
- 30
- Starts
- 2009-01-01
- Expected to finish
- 2009-12-01
- Last updated by the study team
- 2010-01-01
Who can join
Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Laparoscopic repair of perforated marginal ulcer after RYGB
You may not qualify if…
- Perforated marginal ulcers after other bariatric procedures
- Repair by open approach
- Missing records and/or unreachable patients with scant information for analysis
Where it is running
- UCSF Fresno Center for Medical Education and Research — Fresno, California, United States
Full record on ClinicalTrials.gov
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