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1. A 40-year-old patient with a BMI of 50 underwent laparoscopic gastric bypass. The patient initially did well and was discharged home tolerating oral fluids. Six weeks postoperatively, the patient complained of frequent vomiting of liquids and solids. An upper GI was done and showed the following image. The next appropiate step is:

a) laparoscopic reoperation for revision of anastomosis
b) open reoperation for revision of anastomosis
c) flexible esophagosocopy and possible dilation
d) dilation with mercurial bougies
e) Don't Know

2. In the above case, esophagoscopy was done. Findings included as demonstrated. Appropriate management at this point is:

a) reoperation for revision of the gastrojejunostomy
b) passage of a wire for dilation by Puestow or Savary dilators
c) endoscopic balloon dilation with fluoroscopic control
d) no treatment is necessary
e) Don't Know

3. Endoscopic diliation with a balloon dilator was accomplished with the following result. The endoscope could be passed through the dilated stricture following dilation. Appropriate management now is:

a) a new trial of liquid feeding with advancement to solids as tolerated
b) careful instruction to the patient to return at once if chest pain, fever or other sign of illness occurs
c) gastrografin upper GI if the patient reports any degree of chest pain
d) all of the above
e) Don't Know