Perforated marginal ulceration in the setting of single anastomosis duodeno-ileal switch (SADI-S) with conversion to Roux-en-Y gastric bypass and literature review
2025

Perforated Marginal Ulceration After SADI-S Surgery

publication Evidence: low

Author Information

Author(s): Vincent Marcucci, Amanda R Camarda, Veysel Embel, Seth Kipnis

Primary Institution: Jersey Shore University Medical Center

Hypothesis

What are the complications associated with the conversion of SADI-S to RYGB in patients with marginal ulceration?

Conclusion

The study highlights a rare case of perforated marginal ulceration following SADI-S surgery, emphasizing the need for careful monitoring and management.

Supporting Evidence

  • The incidence of marginal ulceration after bariatric surgery is low, ranging from 0.6% to 25%.
  • Prolonged operative times and preoperative NSAID use are correlated with the development of marginal ulcers.
  • Patients on corticosteroids may have a higher risk of developing marginal ulcers.

Takeaway

This study talks about a woman who had surgery for weight loss and later developed a serious stomach problem that needed more surgery to fix.

Methodology

The case involved a multidisciplinary approach including endoscopic evaluation and surgical intervention.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

39-year-old female with a history of morbid obesity.

Digital Object Identifier (DOI)

10.1093/jscr/rjae828

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