Recurrent ulcer
marginal ulcer
A term of art for ulcers that develop at the margins of a gastrojejunostomy, primarily on the jejunal side. Most marginal ulcers respond to medical therapy, but complicated or complex lesions require further intervention.Surgical management
• Omental (Graham) patch repair;
• Revision of gastrojejunostomy;
• Irrigation and drainage;
• Any prior procedure with truncal vagotomy;
• Oesophagojejunostomy; and
• Reversal.