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Recurring internal bleeding even after treatment for ulcer, history of gastric bypass, jejunum removal. Could it be anything else?

Hi my Dad had a Gastric Bypass 10 years ago and they took out his jejunum and the past 5 years he s been internally bleeding. They say it s a ulcer and they burn the end of it but the next day he still bleeds out and he loses a lot of blood. I m wondering if maybe one of you have another expert opinion and if maybe its not a ulcer?
Asked On : Sun, 30 Sep 2012
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Internal Medicine Specialist 's  Response
Hi, yes there are many other potential reasons for gastrointestinal bleeding. If he had an ulcer seen by endoscopy, he is at risk of having ulcers in his "gastric remnant", which is usually not seen by endoscopy. The gastric remnant is the piece of stomach that is cut and disconnected, but is left inside the body, and still produces acid, and ulcers can happen in that part.
The only way to diagnose it would be with an "enteroscopy", which should be done preferrably with a "spiral enteroscopy" or "balloon enteroscopy".
There are also many other causes of bleeding, which are usually seen by endoscopy, or by a capsule endoscopy.
Hope that helps, let me know if you have any further questions.
Answered: Sun, 30 Sep 2012
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