Elisabeth Wynne, MD, Shahroz Fatima, BS, Shaina R Eckhouse, MD. Washington University School of Medicine
Malrotation of the small bowel is a rare finding that affects 1 out of 6,000 births. Over 90% are diagnosed right at birth, and as such, it is rare to identify in adults. Only a few case studies exist in the literature regarding malrotation in patients undergoing laparoscopic Roux-en-Y gastric bypass. The video presents malrotation of the small bowel identified at the time of surgery in a 61-year-old female with a history of a laparoscopic sleeve gastrectomy now with gastroesophageal reflux disease (GERD) refractory to medical management and morbid obesity with a BMI of 36.3. After undergoing a work for GERD, the patient agreed to move forward with a laparoscopic Roux-en-Y gastric bypass to treat both her GERD and morbid obesity. At the time of the operation, the patient was identified to have non-rotation of her intestines, where her jejunoileal loops were on the right side of the abdomen and her colon was on the left side of her abdomen. The video presentation demonstrates the technique utilized to successfully perform a laparoscopic Roux-en-Y gastric bypass in the setting of the rare finding of malrotation.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 91891
Program Number: V248
Presentation Session: Video Loop Day 2
Presentation Type: VideoLoop
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