Question: A 55-year-old Caucasian woman was admitted to the hospital with recurrent melena and hematochezia. Her past medical history was significant for a well-differentiated neuroendocrine tumor of the head of the pancreas for which she had undergone Whipple’s procedure 10 years ago. Her postoperative course was complicated by portal vein thrombosis. She also had a history of compensated liver cirrhosis secondary to nonalcoholic fatty liver disease. She was extensively evaluated in the past 2 years for recurrent gastrointestinal (GI) bleeding with upper and lower endoscopy, double balloon enteroscopy, video capsule endoscopy, and angiography.