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Case Report



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

Madan Haravu Srikantegowda, Ravi kumar Teppa, Vinay Kumar Salvadi, Venkata Pavan Kumar Karanam, Nandkishor Sopanrao Sude.




Abstract

Complications most frequently encountered after gastrojejunostomy are marginal ulcer, bleeding and stenosis, while perforation secondary to ulceration at the anastomosis site is 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 to gastric acid is the important cause of ulcer formation, which may get further complicated by the use of NSAIDs, alcohol intake and smoking. We report a case of a 60-year-old male who developed perforation at the gastro jejunal anastomotic site of old gastrojejunostomy for peptic ulcer disease.

Key words: gastrojejunostomy, stomal ulcer, perforation






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