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Fig. 5A —Anastomotic leak in 29-year-old woman. Upper gastrointestinal contrast series after Roux-en-Y gastric bypass procedure shows edematous gastric pouch with leakage of contrast from gastrojejunal anastomotic site (black arrow) extending into left upper quadrant. There is also dense orally introduced contrast in gastric remnant (arrowhead) without contrast in the duodenum, indicating gastrogastric leak rather than retrograde reflux. Contrast is seen in transverse colon (white arrow) from previous upper gastrointestinal study.