Abstract
Bariatric surgery is the only proven and effective long term treatment for morbid obesity. In accredited centers, bariatric surgery is performed with very low mortality, morbidity and readmission rates. However, a small number of bariatric patients develop postoperative complications like marginal ulcers. The etiology of marginal ulcers following a Laparoscopic Roux en Y gastric Bypass (LRYGB) is a matter of debate. Many factors are believed to contribute to the development of marginal ulcers such as smoking, ischemia, foreign body reaction, gastro-gastric fistulas, large gastric pouches and tension at the anastomosis.
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