Behind The Knife: The Surgery Podcast

Clinical Challenges in Bariatric Surgery: Marginal Ulcers following Roux-en-Y Gastric Bypass

Jan 10, 2022

24:43

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Highlights

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Episode notes

What's the Difference Between Barium and Gastrographin?

03:28

The Initial Medical Management of Marginal Ulcers

03:52

Do You Have Ambitious Hiring Goals?

04:25

Introduction

3min

Is This a Typical Marginal Ulcer?

2min

Is There a Perforated Marginal Ulcer?

2min

What's the Difference Between Barium and Gastrographin?

3min

Do You Have Ambitious Hiring Goals?

4min

The Initial Medical Management of Marginal Ulcers

4min

Is There an MPR Treatment for H Pilory?

2min

Is There a Risk of Perforation?

5min

Surgical and Non Surgical Management of Marginal Ulcers

2min

Marginal ulcers are a common cause of abdominal pain following Roux-en-Y gastric bypass. Ever wonder how bariatric surgeons triage abdominal pain in post-bariatric surgery patients? A simplified approach to the work-up of these patients as well as the long-term management of marginal ulcers is included in this episode from your bariatric surgery team at UNMC!

Journal Articles discussed:
1. Opened Proton Pump Inhibitor Capsules Reduce Time to Healing Compared with Intact Capsules for Marginal Ulceration following Roux-en-Y Gastric Bypass: https://pubmed.ncbi.nlm.nih.gov/27773764/
2. Thoracoscopic Truncal Vagotomy versus Surgical Revision of the Gastrojejunal Anastomosis for Recalcitrant Marginal Ulcers: https://pubmed.ncbi.nlm.nih.gov/30132208/

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