title: A rare cause of gastro-intestinal hemorrhage in a patient with a Roux-en-Y gastric bypass.
abstract: This case illustrates a rare cause of gastro-intestinal bleeding following bariatric surgery. Though it is essential to rule out common causes of variceal formation accompanied by intermittent, profuse bleeding, there should be a high degree of suspicion of this rare etiology in patients who have previously undergone alteration of their anatomy, especially Roux-en-Y gastric bypass (RYGB). The case emphasizes the need for a multidisciplinary medical-surgical team in evaluating and treating patients who present with complex intra-abdominal pathology.
authors.affiliation: Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Richard H
authors.initials: RH
authors.lastname: Cartabuke
authors.affiliation: Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, USA and.
authors.forename: Paresh P
authors.initials: PP
authors.lastname: Mehta
authors.affiliation: Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, USA and.
authors.forename: Kevin
authors.initials: K
authors.lastname: El-Hayek
authors.affiliation: Department of General Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: J Michael
authors.initials: JM
authors.lastname: Henderson
authors.affiliation: Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, USA and burkec1@ccf.org.
authors.forename: Carol A
authors.initials: CA
authors.lastname: Burke
keywords: Roux-en-Y gastric bypass; gastro-intestinal bleeding; superior mesenteric venous thrombosis