A 65 yr old woman is referred to you for evaluation of 65 pound weight loss. She underwent a partial gastrectomy with Billroth II gastrojejunostomy for a non healing antral ulcer one year ago .
Her post operative course was complicated by a duodenal stump blowout and gastro-duodenal artery pseudo aneurysm requiring re-operation .
After the surgery she has experienced nausea, sweating, palpitations and dizziness after every meal.
She also on average five Bristol Type 6or 7 stools/ day, which usually occur right after meals.
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