Unusual Cause of Acute Abdominal Pain in a Roux-en-Y Gastric Bypass Patient

Unusual Cause of Acute Abdominal Pain in a Roux-en-Y Gastric Bypass Patient

Review Data

Purpose and Significance of Study: This is a report that offers insights on a rare complication of acute abdominal pain due to an ulcer just distal to the gastrojejunostomy in a Roux-en-Y gastric bypass patient. This is also important in the context of the increasing number of bariatric surgeries.

Fit with Scope of Journal: The manuscript is of high interest for the journal American Journal of Surgical Case Reports.

The case is described in sufficient detail. The Discussion adequately elaborates on the pathogenesis of duodenal ulcers, the risk factors, the diagnostic challenges, the common treatment approach, and future risks for the patient.


o   The manuscript contains a few minors errors (already corrected in the galley proof), which are listed below –


·       In the 3rd sentence of the Abstract, “past” must be removed, and “a” must be inserted before it.

·       In the 2nd sentence of the 2nd paragraph, “H. pylori” must be italicized.

·       In the last sentence of the Abstract and the 3rd sentence of the 1st paragraph of the Discussion, “anti-inflammatory” must be hyphenated.

Author Info

Corresponding Author
Timothy Koch
Center for Advanced Laparoscopic General & Bariatric Surgery, MedStar-Washington Hospital Center, Georgetown University School of Medicine, Washington, D.C., USA

Article Info

Article Type
Case Report
Publication history
Received: Sat 20, Jun 2020
Accepted: Mon 06, Jul 2020
Published: Thu 09, Jul 2020
© 2019 Timothy Koch. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.
DOI: 10.31487/j.AJSCR.2020.03.04