- Typically following Bariatric surgery workup
- .6 -16% of patients following a Roux-en-Y
- Near the gastrojejunostomy
- Acid injuring the jejunum
- Early
- Due to ischemia at the anastamosis
- Due to foreign material e.g staples or nonabosorbable sutures
- Late
- Excess acid
- NSAIDs
- H.pylori
- Smoking
- Diabete
Management
- PPI
- Stop NSAIDs
- Stop smoking
- Eradicate H. Pylori