ABSTRACT
Obesity and its associated comorbidities affect over one-third of the US population. There has been a significant rise in the number of bariatric surgery procedures performed over the past few decades, which directly correlates with the escalating rate of obesity in the population and the rising number of those seeking treatment. Bleeding is another complication that can be associated with marginal ulceration late after surgery and is primarily managed endoscopically, as the most common site is the gastrojejunostomy. Rarely, patients may develop bleeding ulcers in the gastric remnant requiring interventional radiology or open gastrotomy for endoscopic evaluation of the gastric remnant. Operative intervention for bleeding is rare. The reported overall incidence of small intestinal obstruction following Roux-en-Y gastric bypass varies between 0.8% and 5% and appears to be more common following laparoscopic compared to open procedures, particularly within the first few weeks to months following surgery.
