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Fig. 4B —60-year-old man with connected Roux-en-O misconstruction.
Patient was given medium-density barium in serial patient-controlled swallows
during fluoroscopic observation. Early spot image of gastric pouch (thick
arrow) shows patent proximal anastomosis (paired thin arrows)
and normal-caliber alimentary limb (arrowheads). Small collection of
contrast material lateral to pouch (single thin arrow) is residual
contrast agent from earlier anastomotic leak that had healed.