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 61 y o female with recent onset of nausea and vomiting  Roux-en-y gastric bypass 2 months ago due to an iatrogenic gastric perforation  History of.

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Presentation on theme: " 61 y o female with recent onset of nausea and vomiting  Roux-en-y gastric bypass 2 months ago due to an iatrogenic gastric perforation  History of."— Presentation transcript:

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2  61 y o female with recent onset of nausea and vomiting  Roux-en-y gastric bypass 2 months ago due to an iatrogenic gastric perforation  History of gastric antral vascular ectasia (GAVE) syndrome

3 Angioectatic stripes Flat mucosal vascular anomalies Cause slow blood loss Usually responsive to ablative therapy

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6 Jejunum Duodenum

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10 1.No esophageal stricture or dilatation 2.Mild esophageal dysmotility 3.Narrowing at the gastro-jejunal (GJ) junction 4.Delayed emptying of the gastric pouch

11  Motility disorder in the Roux limb due to the rearrangement of the small bowel  Symptoms:  Postprandial abdominal pain  Nausea  Bloating  Treatment:  Hydration  Medications: Antiemetics and prokinetic agents


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