HighlightsBreast carcinoma gastrointestinal metastases occur in approximately 3% of cases.Metastatic gastrointestinal breast carcinoma is a rare phenomenon in men.Lobular carcinoma gastrointestinal metastases are more common than ductal.Metastatic breast carcinoma leaves the mucosal layer intact.Surgical resection may be necessary for diagnosis.

Highlights Jejunoileal bypass is a surgery of the past however still affects patients being see by surgeons today.The pathophysiology is complicated and it should be known these patients suffer from chronic kidney disease, liver failure, chronic diarrhea and many vitamin deficiencies.Bypass reverseal can help preserve kidney function but may not reverse damages already done.From our experience, Bypassed bowel incorporation back into enteric tract can produced a immune response causing functional obstruction only relieved by removal of this bowel.