Clinical Challenges in Bariatric Surgery: Marginal Ulcers

Behind The Knife: The Surgery Podcast · Oct 15, 2026 · 40m · transcript

Open the capsule, quit the cigarettes, and know when to cut: the essentials of managing marginal ulcers after bypass.

Marginal ulcers are among the most common complications after Roux-en-Y gastric bypass, with a pooled prevalence around 4.6%, and they span everything from mild postprandial pain to perforation with peritonitis. In this episode, our expert panel works through three clinical scenarios (an uncomplicated early ulcer, a refractory ulcer with recurrent stricture, and a perforated ulcer with peritonitis) to build a practical framework for prevention, workup, medical therapy, and…