Which complication of gastric bypass surgery presents with dysphagia, solid food intolerance, and weight loss?

The complication associated with dysphagia, solid food intolerance, and weight loss following gastric bypass surgery is stricture. A stricture refers to a narrowing of the gastric pouch or the anastomosis between the food pouch and the small intestine. This narrowing obstructs the passage of food, leading to difficulty swallowing (dysphagia) and an inability to tolerate solid foods effectively. Patients may experience weight loss due to inadequate food intake, as they may avoid eating to prevent uncomfortable symptoms.

Strictures can develop as a result of inflammation or scar tissue formation at the surgical site, which can occur postoperatively. The clinical manifestation of these symptoms can range from mild to severe and is often related to the degree of stricture present.

In contrast, an anastomotic ulcer primarily presents with symptoms like epigastric pain and may lead to complications such as bleeding or perforation rather than the specific combination of dysphagia and solid food intolerance. Gastroesophageal reflux disease (GERD) may lead to discomfort and regurgitation of stomach contents but does not typically cause solid food intolerance or prominent dysphagia associated with eating. Likewise, a bowel obstruction usually presents with abdominal pain, cramping, vomiting, and inability to pass gas or