Perforated marginal ulcer after palliative gastrojejunostomy

Area of Science:

• Gastroenterology and Surgical Oncology

Background:

• Pancreatic cancer palliative surgery often involves biliary bypass and gastrojejunostomy.
• These procedures aim to alleviate symptoms and improve quality of life in advanced disease.

Observation:

• A patient underwent biliary bypass and gastrojejunostomy for pancreatic head carcinoma.
• Late complications were monitored post-operatively.

Findings:

• The patient developed a marginal ulcer at the gastrojejunostomy site.
• The marginal ulcer subsequently perforated, presenting a significant surgical complication.

Implications:

• Marginal ulcers are a potential late complication of gastrojejunostomy.
• Perforation of marginal ulcers can lead to severe morbidity and mortality, impacting palliative care outcomes.