All of the following are complications of peptic ulcer surgery except:

E. Steatorrhea.

DISCUSSION: Duodenal stump blowout occurs after Billroth II operations, where back-pressure in the duodenal stump results in breakdown of this stump closure, leading to abdominal sepsis. Dumping syndrome and postvagotomy diarrhea are complications of peptic ulcer surgery. They represent two different syndromes, both of which are predominately related to the vagotomy portion of the operation. Delayed gastric emptying occurs frequently after peptic ulcer surgery, for a variety of reasons, but it is most common after elective peptic ulcer surgery for gastric outlet obstruction. Steatorrhea is not necessarily related to peptic ulcer surgery but is a complication of pancreatic insufficiency.