A 65-year-old woman undergoes a Billroth II (gastrojejunostomy) for gastric outlet obstruction from chronic duodenal ulcer. Two years later, she presents with weight loss, anemia, and occult blood in stool. Endoscopy reveals an ulcer at the gastrojejunal anastomosis margin. What is this complication called?
- A Curling ulcer
- B Marginal ulcer ✓
- C Cushing ulcer
- D Dieulafoy lesion
Correct answer: B. Marginal ulcer
Explanation
B marginal ulcer (stomal ulcer) occurs at the gastrojejunal anastomosis after Billroth II. Curling and Cushing ulcers are stress-related ulcers from burns and head injury respectively. Dieulafoy lesion is a submucosal artery erosion, usually in the fundus. Marginal ulcer is the correct term for this post-surgical anastomotic ulcer.
Reference: Bailey and Love's Short Practice of Surgery, 28th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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