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Fig. 1A. —45-year-old woman with giant ulcer in jejunum after gastric bypass surgery. Right posterior oblique spot radiograph from single-contrast upper gastrointestinal tract study shows 3-cm ulcer (long straight arrows) in proximal jejunum abutting gastrojejunal anastomosis (short straight arrow). Note narrowing of anastomosis, most likely related to edema and spasm associated with ulcer crater. Endoscopy (not shown) confirmed presence of ulcer with ischemic-appearing mucosa in this region. Also note gastric pouch (curved arrow).

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