Suture erosion after gastric bypass surgery

Abstract

A 45-year-old woman reported recurrent abdominal pain and a sensation of food sticking in the gastric pouch 4 years after Roux-en-Y gastric bypass surgery for morbid obesity. On upper gastrointestinal endoscopy a prolene suture that had eroded through the posterior wall of the gastro-jejunal anastomosis was seen traversing the anastomotic junction (Figure 1A). The suture was snapped with a diathermy biopsy forceps and a mid-segment …