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Post-Operative Complication Following a Roux-en Y Procedure

ID: exh74156a
This exhibit features two large anterior cut-away views of the female torso comparing normal anatomy with the pre-operative condition. The normal anatomy image clearly show the proper architecture of the upper digestive system showing how the esophagus pierces the diaphragm, joins with a normal stomach which attaches to the duodenum and onward into the other portions of the small intestine. The second image clearly reveals the evidence of the previous Roux-en-Y gastric bypass with approximately 80% of the stomach removed. This image shows a very small gastric remnant attached to a small Roux-en-Y limb with these portions of the anatomy herniating up through the diaphragm as a hiatal hernia. The remaining antrum of the stomach is a blind loop surrounded by dense post-operative adhesions affecting the vasculature to this region.
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