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Fig. 3B Roux-en-Y gastric bypass procedure. Upper gastrointestinal contrast image following Roux-en-Y gastric bypass procedure in 32-year-old woman shows esophagus (thin white arrow), gastric pouch (thick black arrow), short afferent loop (curved black arrow), and efferent loop (thick white arrows). Gastric remnant shows dilute contrast (curved white arrow) that has refluxed via duodenum from previous contrast study.