• Hemoperitoneum as a Consequence of Colonoscopy

      Khosla, Manraj; Univ Arizona, Med Ctr, Dept Pulm Crit Care (AMER COLL GASTROENTEROLOGY, 2016-08-17)
      Hemoperitoneum without evidence of organ damage is a rare complication of colonoscopy. It is most frequently seen in association with splenic rupture due to traction on the splenocolic ligament. In our case, we present a 48-year-old cirrhotic man who developed peritoneal bleeding during a diagnostic colonoscopy for iron deficiency anemia. However, he was without signs of splenic damage or colon perforation. We suggest that the most likely source of bleeding is a ruptured portal-caval collateral vessel based on a computed tomography performed following the procedure.
    • A Novel Endoscopic Technique to Diagnose Gastric Cancer in Excluded Stomach after Roux-en-Y Gastric Bypass

      Kumar, Rashmi; Univ Arizona, Div Gastroenterol & Hepatol, Coll Med, Banner Univ Med Ctr (AMER COLL GASTROENTEROLOGY, 2017-03-15)
      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.