A challenging gastrointestinal hemorrhage after gastric bypass treated with interventional radiology.

Gastrointestinal hemorrhage post–gastric bypass surgery can be difficult to manage due to modifications in the patient’s anatomy. Endoscopic, radiological, and surgical interventions can be used to achieve hemostasis. This report discusses a case of a life-threatening upper gastrointestinal bleeding in a patient 2 years after Roux-en-Y gastric bypass (RYGB), which could not be controlled endoscopically. The dilemmas faced, together with the risks and benefits of each management approach, are discussed.