Michelle Estrada, MD, Theophilus Pham, MBA, Adel Alhaj Saleh, MD, MRCS, Amir Aryaie, MD, FACS. Texas Tech University Health Sciences Center
Case Background
- 49-year-old female with 1-year history of worsening epigastricpain
- Pain characterized as constant, dull and squeezing, worsened by oral intake, especially of meat and leafy vegetables
- Associated nausea, vomiting, choking that is worse at night
Medical and Surgical History
- GERD
- Cholecystectomy
- Hysterectomy for fibroids
- Gastric bypass in 2008
EGD findings
- 8 cm candy cane (afferent blind limb) at the gastrojejunalanastomosis
Upper GI series findings
- No extravasation at the gastrojejunostomysite
CT abdomen/pelvis
- Mild dilatation of the proximal bowel extending to the anastomosis
Laparoscopic revision of Roux-en-Y gastric bypass with resection of afferent blind limb (Candy cane syndrome)
- 10 cm of Candy cane removed
Post-operative Course
- Discharged on post-operative day 1
- 2-week clinic follow up – no nausea/vomiting/food intolerance
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 96052
Program Number: V224
Presentation Session: Video Loop Day 2
Presentation Type: VideoLoop