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Schematic view of the preoperative GI tract structure (status post one anastomosis gastric bypass). The pathology site -gastrojejunal anastomosis is circled. Despite long treatment with high doses of proton pump inhibitors (PPIs) along with Sucralfate, the ulcer had not been resolved. The diagnostic workup should rule out the possibility of a malignant cause for the fistula. Laboratory investigations revealed hemoglobin of 9.6 g/dl, serum potassium of 2.1 mmol/L, albumin of 2.1 g/dL, along other markers of malnutrition and hypovitaminosis. UGI exams were reviewed, and a GCF was suspected. Image from the Upper Gastrointestinal (UGI) series of the patient in an upright position demonstrates the gastric pouch (GP) and the gastrojejunal anastomosis (arrow) with no evidence of leakage (Figure 2).

Schematic view of the preoperative GI tract structure (status post one anastomosis gastric bypass). The pathology site -gastrojejunal anastomosis is circled. Despite long treatment with high doses of proton pump inhibitors (PPIs) along with Sucralfate, the ulcer had not been resolved. The diagnostic workup should rule out the possibility of a malignant cause for the fistula. Laboratory investigations revealed hemoglobin of 9.6 g/dl, serum potassium of 2.1 mmol/L, albumin of 2.1 g/dL, along other markers of malnutrition and hypovitaminosis. UGI exams were reviewed, and a GCF was suspected. Image from the Upper Gastrointestinal (UGI) series of the patient in an upright position demonstrates the gastric pouch (GP) and the gastrojejunal anastomosis (arrow) with no evidence of leakage (Figure 2).

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Figure 1: Schematic view of the preoperative GI tract structure (status...
Figure 2: Upper Gastrointestinal series in an upright position...
Figure 4: Schematic view of the GI tract after specimen resection and...
Figure 5: Schematic view -GI tract reconstruction.
International Journal of Case Reports and Clinical Images A Rare Case of Gastrocolic Fistula Secondary to Marginal Ulcer Following Mini Gastric Bypass
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  • May 2021
Mini Gastric Bypass (MGB) is a simple, safe, feasible, and efficient weight loss reducing surgery, and rapidly gaining popularity, and is now the third most common bariatric surgery performed worldwide. Complications following MGB are common. Some of these complications may be life-threatening and require prompt diagnosis, intervention, and revisio...
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... reported a recent weight loss of 32 kg and was finally unable to ambulate due to exhaustion. The patient suffered from chronic epigastric pain and was diagnosed with a deep MU (Figure 1). An image from upper GI series obtained several minutes later shows contrast medium in the transverse colon (TC), and splenic flexure Gastroscopy revealed fecal matter in the gastric pouch, ulcer with irregular margins posterior wall of the gastrojejunal anastomosis. ...