Surgical Treatment of Bleeding Marginal Ulcer After Roux-en-Y Gastric Bypass

Monica Sethi, MD, Patricia Chui, MD, Manish Parikh, MD. NYU School of Medicine

Marginal Ulcers (MU) are the most common cause of bleeding after RYGB. Surgical management is required if endoscopic treatment fails to control the bleeding. In this video, we present the case of a laparoscopic repair of an actively bleeding marginal ulcer after RYGB. The repair was performed  via a jejunal enterotomy with meticulous ligation of bleeding vessels, and did not require revision of the gastrojejunal anastomosis. 

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