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Reoperative bariatric surgery procedures are becoming a significant part of MBS practice. They are performed to deal with complications and weight gain after the primary procedure. One of the most common complications in patients with a history of gastric bypass is marginal ulcer (MU) and stricture. The incidence of marginal ulcer (MU) is 1-16%, although true incidence is unknown. Bleeding and perforation are the presenting factors in some patients. Chronic MU is often accompanied by abdominal pain and stricture as in the case presented.