Kumar Rashmi, Pitea Teodor C
Division of Gastroenterology and Hepatology, University of Arizona College of Medicine/Banner University Medical Center, Phoenix, AZ.
ACG Case Rep J. 2017 Mar 15;4:e36. doi: 10.14309/crj.2017.36. eCollection 2017.
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.
在Roux-en-Y胃旁路手术后，进入胃旁路部分仍然是一项挑战。我们报告一例64岁女性，她因胃出口梗阻前来就诊。我们采用了一种新型内镜技术，通过使用一种特殊的支架创建空肠胃吻合术来进入旁路胃，这使得能够插入小儿胃镜检查胃旁路部分。胃活检显示为具有印戒细胞特征的低分化腺癌。
