Percutaneous endoscopy to diagnose malignancy in gastric outlet obstruction of excluded stomach after gastric bypass

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Percutaneous endoscopy to diagnose malignancy in gastric outlet obstruction of excluded stomach after gastric bypass (EN)

Kwong, Wilson; University of California, San Diego
Ahmad, Waseem; University of California, San Diego
Rubin, Joshua; University of California, San Diego

Gastric cancer in the excluded stomach after Roux-en-Y gastric bypass is a rare finding and most reported diagnoses are made via surgery. Endoscopic access to the excluded stomach is difficult, even with balloon-assisted enteroscopy. We present the case of a 74-year-old woman with malignant gastric outlet obstruction of the excluded stomach, 41 years after Roux-en-Y gastric bypass. Minimally invasive access to the excluded stomach was obtained by placement of a percutaneous gastrostomy tube, followed by insertion of a pediatric gastroscope through the gastrostomy tube tract. This novel approach provides minimally invasive access to the excluded stomach in patients with high suspicion of pathology in the excluded stomach, when balloonassisted enteroscopy is not technically feasible or available.Keywords Gastric adenocarcinoma, excluded stomach, Roux-en-Y gastric bypass, gastrostomy tube, gastroscopeAnn Gastroenterol 2017; 30 (3): 367-369 (EN)

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Gastroenterologiki Company (EN)

2017-04-28


Annals of Gastroenterology (EN)

Annals of Gastroenterology; Volume 30, No 3 (2017); 367 (EN)



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