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A Novel Endoscopic Technique to Diagnose Gastric Cancer in Excluded Stomach after Roux-en-Y Gastric Bypass

Access to the bypassed portion of the stomach after Roux-en-Y gastric bypass remains a challenge. We present a case of 64-year-old woman who presented with gastric outlet obstruction. We used a novel endoscopic technique to access the bypassed stomach by creating a jejunogastrostomy using a specialized stent, which allowed the insertion of a pediatric gastroscope to examine the bypassed portion of the stomach. Stomach biopsies revealed poorly differentiated adenocarcinoma with signet cell features.

Identiferoai:union.ndltd.org:arizona.edu/oai:arizona.openrepository.com:10150/625793
Date15 March 2017
CreatorsKumar, Rashmi
ContributorsUniv Arizona, Div Gastroenterol & Hepatol, Coll Med, Banner Univ Med Ctr
PublisherAMER COLL GASTROENTEROLOGY
Source SetsUniversity of Arizona
LanguageEnglish
Detected LanguageEnglish
TypeArticle
RightsCopyright: © 2017 Kumar et al. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Relationhttp://acgcasereports.gi.org/a-novel-endoscopic-technique-to-diagnose-gastric-cancer-in-excluded-stomach-after-roux-en-y-gastric-bypass/

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