Perforated Marginal Ulcer as a Complication of Pancreaticoduodenectomy

Complications at the gastrojejunal anastomosis are challenging in terms of diagnosis, therapy, and prevention. Perforated marginal ulcer after pancreaticoduodenectomy (PD) is a delayed complication. One case of perforated marginal ulcer after PD was reported at our hospital. The patient was treated with direct suture and omental patch, and no mortality was reported. This study aims at identifying these complications and discussing their management. Gastrojejunal anastomotic complications are frequent and occur within the first few days or up to several years after surgery. Stenoses or marginal ulcers are usually successfully treated nonoperatively. Laparoscopic repair, meanwhile, is an appropriate therapeutic option for perforated ulcers.