Abstract
Marginal ulceration has a reported incidence up to 34% following Roux-en-y gastric bypass. Bleeding or perforation may be a medical emergency and can be managed via a wide range of techniques. Traditional laparoscopy or robotically assisted laparoscopy offer minimally invasive approaches. We reviewed the experience at a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Center of Excellence.
Highlights
Obesity is a major healthcare concern around the world
Fifty-nine patients had 68 operations directly related to the ulcer: 47 were females (79.7%), mean age 51.7 years, and mean body mass index (BMI) 35.8
Failed medical therapy with proton pump inhibitor use was noted in 64.4% of patients
Summary
Obesity is a major healthcare concern around the world. According to the National Health and Nutrition Examination Survey, over one-third of American adults are obese, which accounts for 37.7% of adults in the United States (US) [1,2]. In 2000, the presence of morbid obesity was found to have a two-fold increase in odds of incurring healthcare expenditure compared to normal-weight adults and overall obesity-related healthcare costs in the US exceeded 11 billion dollars [3]. A 2016 meta-analysis and systematic review showed that these costs have risen to over 149 billion dollars annually [4]. We reviewed the experience at a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Center of Excellence
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
