Author contributions
SB involved in conceptualization. All authors, SR, SA, SB and KBS have contributed to writing, editing, and preparation of manuscript and have reviewed it before submission.

Ethical approval

Written informed consent was obtained from the patient for publication of case report and associated images. Since this report involves no experiments, the ethical approval is waived.

Consent

A copy of written consent is available for review by editors of this journal on request.
References
1. Sulieman I, Strobel O, Scharenberg C, Mihaljevic AM, Müller BM, Diener MK, Mehrabi A, Schneider M, Berchtold C, Tjaden C, Hinz U, Feisst M, Büchler MW, Hackert T, Loos M. Symptomatic marginal ulcer after pancreatoduodenectomy. Surgery. 2020 Jul;168(1):67-71. doi: 10.1016/j.surg.2020.02.012. Epub 2020 Apr 7. PMID
2. Park Y, Hwang DW, Lee JH, Song KB, Jun E, Lee W, Kwon J, Kim SC. Analysis of Symptomatic Marginal Ulcers in Patients Who Underwent Pancreaticoduodenectomy for Periampullary Tumors. Pancreas. 2020 Feb;49(2):208-215. doi: 10.1097/MPA.0000000000001470. PMID
3. P A, C K, R P, Chidambaranathan S, O L NB. Marginal Ulcer Perforation in a Whipple Survivor: A Rare Long-Term Complication. Cureus. 2022 Aug 16;14(8):e28050. doi: 10.7759/cureus.28050. PMID
4. Wu JM, Tsai MK, Hu RH, Chang KJ, Lee PH, Tien YW. Reflux esophagitis and marginal ulcer after pancreaticoduodenectomy. J Gastrointest Surg. 2011 May;15(5):824-8. doi: 10.1007/s11605-011-1463-4. Epub 2011 Feb 24. PMID
5. Wang L, Su Ap, Zhang Y, Yang M, Yue Pj, Tian Bl. Reduction of alkaline reflux gastritis and marginal ulcer by modified Braun enteroenterostomy in gastroenterologic reconstruction after pancreaticoduodenectomy. J Surg Res. 2014 Jun 1;189(1):41-7. doi: 10.1016/j.jss.2014.01.025. Epub 2014 Jan 23. PMID
6. Marcotte, E. Treatment of Marginal Ulcers After Gastric Bypass. In: Chand, B. (eds) Endoscopy in Obesity Management. Springer, Cham. DOI
7. Su AP, Ke NW, Zhang Y, Wang WG, Zhang ZD, Liu XB, Hu WM, Tian BL. Does modified Braun enteroenterostomy improve alkaline reflux gastritis and marginal ulcer after pancreaticoduodenectomy? Dig Dis Sci. 2013 Nov;58(11):3224-31. doi: 10.1007/s10620-013-2803-x. Epub 2013 Aug 6. PMID
8. Di Palma A, Liu B, Maeda A, Anvari M, Jackson T, Okrainec A. Marginal ulceration following Roux-en-Y gastric bypass: risk factors for ulcer development, recurrence and need for revisional surgery. Surg Endosc. 2021 May;35(5):2347-2353. doi: 10.1007/s00464-020-07650-0. Epub 2020 May 18. PMID
9. Fringeli Y, Worreth M, Langer I. Gastrojejunal Anastomosis Complications and Their Management after Laparoscopic Roux-en-Y Gastric Bypass. J Obes. 2015;2015:698425. doi: 10.1155/2015/698425. Epub 2015 Oct 18. PMID
10. Bonanno A, Tieu B, Dewey E, Husain F. Thoracoscopic truncal vagotomy versus surgical revision of the gastrojejunal anastomosis for recalcitrant marginal ulcers. Surg Endosc. 2019 Feb;33(2):607-611. doi: 10.1007/s00464-018-6386-7. Epub 2018 Aug 21. PMID