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Stomal ulcer

MedGen UID:
6220
•Concept ID:
C0024799
•
Disease or Syndrome
Synonyms: Marginal Ulcer; Marginal Ulcers; Ulcer, Marginal; Ulcers, Marginal
SNOMED CT: Stomal ulcer (16121001); Marginal ulcer (16121001)

Definition

An ulcer that develops in the jejunal mucosa close to the anastomosis site following a gastroenterostomy procedure. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVStomal ulcer

Professional guidelines

PubMed

The influence of prophylactic proton pump inhibitor treatment on the development of symptomatic marginal ulceration in Roux-en-Y gastric bypass patients: a historic cohort study.
Coblijn UK, Lagarde SM, de Castro SM, Kuiken SD, van Tets WF, van Wagensveld BA
Surg Obes Relat Dis 2016 Feb;12(2):246-52. Epub 2015 May 7 doi: 10.1016/j.soard.2015.04.022. PMID: 26381875
Pancreas-sparing duodenectomy is effective management for familial adenomatous polyposis.
Mackey R, Walsh RM, Chung R, Brown N, Smith A, Church J, Burke C
J Gastrointest Surg 2005 Nov;9(8):1088-93; discussion 1093. doi: 10.1016/j.gassur.2005.07.021. PMID: 16269379
Endoscopic injection treatment of gastrointestinal bleeding in hemophiliacs.
Ziemski JM, Szczepanik AB, Misiak A, Rudowski WJ
World J Surg 1996 Nov-Dec;20(9):1166-70. doi: 10.1007/s002689900178. PMID: 8864077

Recent clinical studies

Etiology

Emergency surgical conditions after biliopancreatic diversion.
Cossu ML, Meloni GB, Alagna S, Tilocca PL, Pilo L, Profili S, Noya G
Obes Surg 2007 May;17(5):637-41. doi: 10.1007/s11695-007-9107-1. PMID: 17658023
Role of gastric acid in stomal ulcer after gastric bypass.
Hedberg J, Hedenström H, Nilsson S, Sundbom M, Gustavsson S
Obes Surg 2005 Nov-Dec;15(10):1375-8. doi: 10.1381/096089205774859380. PMID: 16354514
Biliopancreatic diversion.
Scopinaro N, Adami GF, Marinari GM, Gianetta E, Traverso E, Friedman D, Camerini G, Baschieri G, Simonelli A
World J Surg 1998 Sep;22(9):936-46. doi: 10.1007/s002689900497. PMID: 9717419
Stomal ulcer after gastric bypass.
MacLean LD, Rhode BM, Nohr C, Katz S, McLean AP
J Am Coll Surg 1997 Jul;185(1):1-7. doi: 10.1016/s1072-7515(01)00873-0. PMID: 9208953
Secretion of blood group substances in duodenal, gastric and stomal ulcer, gastric carcinoma, and diabetes mellitus.
DOLL R, DRANE H, NEWELL AC
Gut 1961 Dec;2(4):352-9. doi: 10.1136/gut.2.4.352. PMID: 13887045Free PMC Article

Diagnosis

Marginal ulcers after one anastomosis (mini) gastric bypass: a survey of surgeons.
Mahawar KK, Reed AN, Graham YNH
Clin Obes 2017 Jun;7(3):151-156. Epub 2017 Mar 20 doi: 10.1111/cob.12186. PMID: 28320077
Acute Abdominal Pain in the Bariatric Surgery Patient.
Lewis KD, Takenaka KY, Luber SD
Emerg Med Clin North Am 2016 May;34(2):387-407. Epub 2016 Mar 22 doi: 10.1016/j.emc.2015.12.004. PMID: 27133251
Duodenocolic fistula caused by a peptic stomal ulcer following distal gastrectomy.
Sawaguchi M, Jin M, Matsuhashi T, Ohba R, Hatakeyama N, Koizumi S, Onochi K, Tawaraya S, Watanabe N, Uchinami H, Yamamoto Y, Ohnishi H, Mashima H
Intern Med 2013;52(14):1579-83. Epub 2013 Jul 15 doi: 10.2169/internalmedicine.52.0496. PMID: 23857089
Emergency surgical conditions after biliopancreatic diversion.
Cossu ML, Meloni GB, Alagna S, Tilocca PL, Pilo L, Profili S, Noya G
Obes Surg 2007 May;17(5):637-41. doi: 10.1007/s11695-007-9107-1. PMID: 17658023
Role of gastric acid in stomal ulcer after gastric bypass.
Hedberg J, Hedenström H, Nilsson S, Sundbom M, Gustavsson S
Obes Surg 2005 Nov-Dec;15(10):1375-8. doi: 10.1381/096089205774859380. PMID: 16354514

Therapy

Acute Abdominal Pain in the Bariatric Surgery Patient.
Lewis KD, Takenaka KY, Luber SD
Emerg Med Clin North Am 2016 May;34(2):387-407. Epub 2016 Mar 22 doi: 10.1016/j.emc.2015.12.004. PMID: 27133251
Role of gastric acid in stomal ulcer after gastric bypass.
Hedberg J, Hedenström H, Nilsson S, Sundbom M, Gustavsson S
Obes Surg 2005 Nov-Dec;15(10):1375-8. doi: 10.1381/096089205774859380. PMID: 16354514
Biliopancreatic diversion.
Scopinaro N, Adami GF, Marinari GM, Gianetta E, Traverso E, Friedman D, Camerini G, Baschieri G, Simonelli A
World J Surg 1998 Sep;22(9):936-46. doi: 10.1007/s002689900497. PMID: 9717419
Stomal ulcer after gastric bypass.
MacLean LD, Rhode BM, Nohr C, Katz S, McLean AP
J Am Coll Surg 1997 Jul;185(1):1-7. doi: 10.1016/s1072-7515(01)00873-0. PMID: 9208953
Roxatidine acetate. A review of its pharmacodynamic and pharmacokinetic properties, and its therapeutic potential in peptic ulcer disease and related disorders.
Murdoch D, McTavish D
Drugs 1991 Aug;42(2):240-60. doi: 10.2165/00003495-199142020-00006. PMID: 1717223

Prognosis

Laparoscopic Roux-en-Y Gastric Bypass After Failed Vertical Banded Gastroplasty: 2-Year Follow-up of 102 Patients.
Sarhan MD, AbdelSalam N M, Mostafa MS, Yehia A, Anwar I, Fathy E
Obes Surg 2021 Jun;31(6):2717-2722. Epub 2021 Mar 4 doi: 10.1007/s11695-021-05328-7. PMID: 33660155
Emergency surgical conditions after biliopancreatic diversion.
Cossu ML, Meloni GB, Alagna S, Tilocca PL, Pilo L, Profili S, Noya G
Obes Surg 2007 May;17(5):637-41. doi: 10.1007/s11695-007-9107-1. PMID: 17658023
Stomal ulcer after gastric bypass.
MacLean LD, Rhode BM, Nohr C, Katz S, McLean AP
J Am Coll Surg 1997 Jul;185(1):1-7. doi: 10.1016/s1072-7515(01)00873-0. PMID: 9208953
The role of vagotomy in pancreaticoduodenectomy.
Scott HW Jr, Dean RH, Parker T, Avant G
Ann Surg 1980 Jun;191(6):688-96. doi: 10.1097/00000658-198006000-00005. PMID: 6247985Free PMC Article
Secretion of blood group substances in duodenal, gastric and stomal ulcer, gastric carcinoma, and diabetes mellitus.
DOLL R, DRANE H, NEWELL AC
Gut 1961 Dec;2(4):352-9. doi: 10.1136/gut.2.4.352. PMID: 13887045Free PMC Article

Clinical prediction guides

Isolated corrosive pyloric stenosis without oesophageal involvement: an experience of 21 years.
Ansari MM, Haleem S, Harris SH, Khan R, Zia I, Beg MH
Arab J Gastroenterol 2011 Jun;12(2):94-8. Epub 2011 May 5 doi: 10.1016/j.ajg.2011.04.010. PMID: 21684482
Vertical banded gastroplasty versus standard or distal Roux-en-Y gastric bypass based on specific selection criteria in the morbidly obese: preliminary results.
Kalfarentzos F, Dimakopoulos A, Kehagias I, Loukidi A, Mead N
Obes Surg 1999 Oct;9(5):433-42. doi: 10.1381/096089299765552701. PMID: 10605899
Early and late complications of pylorus-preserving pancreatoduodenectomy in Japan 1998.
Yamaguchi K, Tanaka M, Chijiiwa K, Nagakawa T, Imamura M, Takada T
J Hepatobiliary Pancreat Surg 1999;6(3):303-11. doi: 10.1007/s005340050122. PMID: 10526067
Endoscopic injection treatment of gastrointestinal bleeding in hemophiliacs.
Ziemski JM, Szczepanik AB, Misiak A, Rudowski WJ
World J Surg 1996 Nov-Dec;20(9):1166-70. doi: 10.1007/s002689900178. PMID: 8864077
Effect of gastric bypass on gastric secretion.
Mason EE, Munns JR, Kealey GP, Wangler R, Clarke WR, Cheng HF, Printen KJ
Am J Surg 1976 Feb;131(2):162-8. doi: 10.1016/0002-9610(76)90090-8. PMID: 1251957

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