Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 13: A 35-Year-Old Female Presented With Epigastric Pain, Difficulty Swallowing, And Subjective Fever 1 Month After Gastric Bypass Surgery. She Was Seen In The Er Because Of Recent Hematemesis. What Do I Do? (continued)

Andrew Yen, MD, FACG; Joseph Leung, MD, FRCP, FACP, FASGE, MACG

Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the most common bariatric and metabolic surgical procedure performed for morbid obesity. Gastroenterologists are often called upon to evaluate patients with symptoms or suspected complications after LRYGB. The general approach to the postoperative patient begins with an understanding of the surgical anatomy, delineating the time course of symptoms since surgery (ie, early or late), and determining the role of endoscopy in diagnosis and treatment based on the clinical assessment of the patient. A number of symptoms and complications can occur in…