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Revenge of the Remnant

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We report a rare case of adenocarcinoma in the excluded gastric pouch of a morbidly obese woman who underwent Roux-en-Y gastric bypass (RYGB). A gastrointestinal tumor in the excluded, postsurgical gastric pouch, has a reported incidence of 0.8%.1 According to the World Health Organization, gastric cancer is the third most common cause of cancer-related death and the fifth most common...