{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:19:56Z","timestamp":1786547996043,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>\n                    <jats:bold>ABSTRACT<\/jats:bold>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.14309\/crj.2017.36","type":"journal-article","created":{"date-parts":[[2017,3,16]],"date-time":"2017-03-16T15:24:43Z","timestamp":1489677883000},"page":"e36","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["A Novel Endoscopic Technique to Diagnose Gastric Cancer in Excluded Stomach after Roux-en-Y Gastric Bypass"],"prefix":"10.14309","volume":"4","author":[{"given":"Rashmi","family":"Kumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teodor C.","family":"Pitea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-36-20260710","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1001\/jama.2014.732","article-title":"Prevalence of childhood and adult obesity in the United States, 2011-2012.","volume":"311","author":"Ogden","year":"2014","journal-title":"JAMA"},{"key":"R2-36-20260710","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1001\/jama.2012.39","article-title":"Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010.","volume":"307","author":"Flegal","year":"2012","journal-title":"JAMA"},{"issue":"5","key":"R3-36-20260710","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/j.amjsurg.2006.07.006","article-title":"Bariatric surgery trends: An 18-year report from the International Bariatric Surgery Registry.","volume":"192","author":"Samuel","year":"2006","journal-title":"Am J Surg"},{"issue":"12","key":"R4-36-20260710","doi-asserted-by":"crossref","first-page":"1946","DOI":"10.3748\/wjg.14.1946","article-title":"Investigation of the excluded stomach after Roux-en-Y gastric bypass: The role of percutaneous endoscopy.","volume":"14","author":"Gill","year":"2008","journal-title":"World J Gastroenterol"},{"issue":"1","key":"R5-36-20260710","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1381\/096089201321454060","article-title":"Investigation of the excluded stomach after Roux-en-Y gastric bypass.","volume":"11","author":"Sundbom","year":"2001","journal-title":"Obes Surg"},{"issue":"1","key":"R7-36-20260710","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.soard.2006.08.018","article-title":"Laparoscopic transgastric endoscopy after Roux-en-Y gastric bypass.","volume":"3","author":"Ceppa","year":"2007","journal-title":"Surg Obes Relat Dis"},{"issue":"3","key":"R8-36-20260710","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1381\/096089298765554494","article-title":"Access to the bypassed stomach after gastric bypass.","volume":"8","author":"Fobi","year":"1998","journal-title":"Obes Surg"},{"issue":"9","key":"R9-36-20260710","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1007\/s11695-007-9198-8","article-title":"Evaluation of the excluded stomach by double-balloon endoscopy after laparoscopic Roux-en-Y gastric bypass.","volume":"17","author":"Tagaya","year":"2007","journal-title":"Obes Surg"},{"key":"R10-36-20260710","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1097\/00007611-198503000-00006","article-title":"Retrograde endoscopy of the bypassed stomach segment after gastric bypass surgery: Unexpected lesions.","volume":"78","author":"Sinar","year":"1985","journal-title":"South Med J"},{"key":"R11-36-20260710","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/S0002-9610(85)80025-8","article-title":"The bypassed stomach.","volume":"149","author":"Flickinger","year":"1985","journal-title":"Am J Surg"},{"key":"R12-36-20260710","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1055\/s-2005-861444","article-title":"Is it feasible to reach the bypassed stomach after Roux-en-Y gastric bypass for morbid obesity? The use of the double-balloon enteroscope.","volume":"37","author":"Sakai","year":"2005","journal-title":"Endoscopy"}],"container-title":["ACG Case Reports Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/02075970-201704000-00036","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T14:20:25Z","timestamp":1786544425000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/02075970-201704000-00036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.14309\/crj.2017.36","relation":{},"ISSN":["2326-3253"],"issn-type":[{"value":"2326-3253","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}