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.
Division of Gastroenterology and Hepatology, University of Arizona College of Medicine/Banner University Medical Center, Phoenix, AZ.
Rashmi
R
Kumar
Division of Gastroenterology and Hepatology, University of Arizona College of Medicine/Banner University Medical Center, Phoenix, AZ.
Teodor C
TC
Pitea