In a patient with normal liver function tests, a CT showing a peri‑portal soft‑tissue track, iron‑deficiency anemia, and a history of Roux‑en‑Y gastric bypass, what are the next diagnostic and management steps?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board

Educational purpose only • Exercise caution as content is pending human review

Article Review Status

Submitted

Under Review

Approved

Last updated: February 16, 2026 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

What is the appropriate assessment and management for an adult with iron‑deficiency anemia, prior Roux‑en‑Y gastric bypass and cholecystectomy, presenting with nausea, abdominal discomfort, and a CT showing a peri‑portal soft‑tissue track extending into the porta hepatis and inferior medial liver surface?

Can oral iron be used to treat iron deficiency anemia in a patient with a history of gastric bypass surgery?

How to improve low ferritin levels in a patient with a history of gastric bypass surgery?

What oral iron supplementation regimen should be started after Roux‑en‑Y gastric bypass, including dose, timing, monitoring, and criteria for switching to intravenous iron?

Why does iron deficiency anemia occur after gastric bypass surgery?

Is it safe to co‑prescribe oxcarbazepine with flupirtine in an adult, and what monitoring is required?

A 7‑month‑old infant presents with two days of fever, rhinorrhea, cough, and vomiting; what is the most likely diagnosis and how should it be managed?

What are the indications, recommended dosing (adult and pediatric), contraindications, and common adverse effects of atropine for symptomatic bradycardia, organophosphate poisoning, pre‑operative antisialagogue use, and ophthalmic mydriasis?

How should I assess and manage a postoperative cholecystectomy patient with normal bilirubin, normal alkaline phosphatase, normal AST and ALT, and a computed tomography showing peri‑portal low‑density tracking extending into the porta hepatis and inferior medial liver surface?

What are the European Society of Hypertension (ESH) recommendations for out‑of‑office blood‑pressure monitoring, including preferred use of ambulatory blood‑pressure monitoring (ABPM) versus home blood‑pressure monitoring (HBPM), measurement protocols, and diagnostic thresholds?

In a typical adult with secondary peritonitis and no significant allergies or renal impairment, what is the recommended broad‑spectrum intravenous antibiotic regimen and duration of therapy?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.