2021
DOI: 10.14309/crj.0000000000000720
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Diagnosis of Gastric Cancer in the Excluded Stomach After RYGB by Jejunogastrostomy Using a LAMS

Abstract: For patients after bariatric surgery, diagnosis of gastric cancer is a challenge. We present a patient after Roux-en-Y gastric bypass with upper abdominal pain and abnormal computed tomography scan with diffuse wall thickening of the gastric antrum. Various biopsy techniques have been described, with surgical (laparoscopic) exploration being the most common. We were able to successfully diagnose gastric cancer in the excluded stomach by biopsy using a jejunogastrostomy, which proved to be safe and effective.

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Cited by 5 publications
(3 citation statements)
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“…For example, imaging diagnostics can reveal whether the infection has extended, but there are also a range of other options available for diagnosing risk. The diagnosis techniques [ 25 28 ] are listed below. Biopsy: this is the expulsion of a limited quantity of cells for assessment under magnification.…”
Section: Background Studymentioning
confidence: 99%
“…For example, imaging diagnostics can reveal whether the infection has extended, but there are also a range of other options available for diagnosing risk. The diagnosis techniques [ 25 28 ] are listed below. Biopsy: this is the expulsion of a limited quantity of cells for assessment under magnification.…”
Section: Background Studymentioning
confidence: 99%
“…One case series described 18 patients with the diagnosis of gastric adenocarcinoma of the excluded stomach after gastric bypass surgery [ 7 ]. A Brazilian study evaluated 3,047 patients after Roux-en-Y with gastric cancer; however, only one of which occurred in the excluded stomach [ 8 ]. It is thought that there may be physiological changes in the excluded stomach after Roux-en-Y surgeries, making it susceptible to malignant transformation [ 8 ].…”
Section: Discussionmentioning
confidence: 99%
“…A Brazilian study evaluated 3,047 patients after Roux-en-Y with gastric cancer; however, only one of which occurred in the excluded stomach [ 8 ]. It is thought that there may be physiological changes in the excluded stomach after Roux-en-Y surgeries, making it susceptible to malignant transformation [ 8 ]. One specific hypothesis suggests that the presence of pancreaticobiliary reflux leads to prolonged gastritis subsequently increasing the risk of gastric adenocarcinoma [ 4 ].…”
Section: Discussionmentioning
confidence: 99%