Post Roux-en-Y gastric bypass complications: A comparative study assessing the clinical effectiveness of oesophagogastroduodenoscopy and oral-contrast swallow.

Introduction: Anastomotic strictures at the gastrojejunal anastomosis have been reported to occur in 3-20% of patients following a Roux-en-Y gastric bypass (RYGB). Patients commonly present with dysphagia, vomiting and post-prandial pain. Clearly using the appropriate investigations to diagnose the potential complications have both clinical and economical benefits.

Carotid artery dissection causing hypoglossal nerve palsy.

A 45-year-old man was admitted with a 4 day history of right facial pain and on examination, there was atrophy of the right side of the tongue. Magnetic resonance angiography demonstrated carotid artery dissection and aspirin was commenced.