Perforation of Gastrojejunal Anastomotic Stomal Ulcer- A Rare Delayed Post Operative Complication.

Abstract

Complications most frequently encountered after gastrojejunostomy are marginal ulcer, bleeding and stenosis, while perforation secondary to ulceration at anastomosis site is very rare and seldom reported. Perforation of GJA ulcers is extremely rare and is associated with high morbidity; the incidence ranges from 0.25 to 1%, Direct exposure of gastric acid is the important cause of ulcer formation which may get further complicated by the use of NSAID's, alcohol intake and smoking. We report a case of 60-year-old male who developed perforation at the gastro jejunal anastomotic site of old gastrojejunostomy for peptic ulcer disease.