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ACG Case Rep J. 2017; 4: e36.
Published online 2017 March 15. doi:  10.14309/crj.2017.36
PMCID: PMC5356153

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.

Articles from ACG Case Reports Journal are provided here courtesy of American College of Gastroenterology