Resolución laparoscópica de un caso de “Candy Cane” en un postoperatorio de By Pass Gástrico

Martín Varela Vega; Gerardo Beraldo; Pablo Santiago; Sofía Baranov; Agustina Da Rosa

doi:10.31837/cir.urug/6.1.3

Laparoscopic resolution of a case of "Candy Cane" in a postoperative period of Gastric Bypass

Authors

Martín Varela Vega Servicio de Cirugía Bariátrica y Metabólica. Hospital Central de las Fuerzas Armadas. Montevideo, Uruguay https://orcid.org/0000-0003-2376-2844
Gerardo Beraldo Servicio de Cirugía Bariátrica y Metabólica. Hospital Central de las Fuerzas Armadas. Montevideo, Uruguay https://orcid.org/0000-0002-3311-160X
Pablo Santiago Servicio de Cirugía Bariátrica y Metabólica. Hospital Central de las Fuerzas Armadas. Montevideo, Uruguay https://orcid.org/0000-0002-7733-8291
Sofía Baranov Servicio de Cirugía Bariátrica y Metabólica. Hospital Central de las Fuerzas Armadas. Montevideo, Uruguay https://orcid.org/0000-0002-1914-3285
Agustina Da Rosa Servicio de Cirugía Bariátrica y Metabólica. Hospital Central de las Fuerzas Armadas. Montevideo, Uruguay https://orcid.org/0000-0002-7313-1306

DOI:

https://doi.org/10.31837/cir.urug/6.1.3

Keywords:

bariatric surgery, laparoscopic surgery, postoperative complications, gastric by pass

Abstract

Gastric bypass (BPG) is a bariatric surgery technique with proven efficacy in the control of obesity and the resolution of associated diseases, such as diabetes and hypertension. Postoperative abdominal pain away from LGA is a real challenge, and requires an understanding of the surgical technique and the possible causes that originate the pain for its etiological diagnosis. The main causes of pain are neobocal ulcer, internal hernias (due to Petersen's space or mesenteric gap), symptomatic gallstones, and “candy cane” syndrome (or “Candy Cane syndrome” by its Anglo-Saxon name). ). It results from an excessive length of the blind jejunal stump of the alimentary loop, after the gastrojejunal anastomosis. When it measures more than 4 cm it can fill with food, acting as a bag or reservoir, causing pain, nausea or vomiting. The diagnosis arises from the clinic and a contrasted study that demonstrates the excessive length of the end of the alimentary loop. Treatment is surgical and the disappearance of symptoms confirms the diagnosis.

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References

Aryaie AH, Fayezizadeh M, Wen Y, Alshehri M, Abbas M, Khaitan L. "Candy cane syndrome:" an underappreciated cause of abdominal pain and nausea after Roux-en-Y gastric bypass surgery. Surg Obes Relat Dis. 2017 Sep;13(9):1501-1505. Doi: 10.1016/j.soard.2017.04.006

Khan, K., Rodriguez, R., Saeed, S., Persaud, A., & Ahmed, L. (2018). A Case series of candy cane limb syndrome after laparoscopic Roux-en-Y gastric bypass. Journal of surgical case reports, 2018(10), rjy244. Doi: 10.1093/jscr/rjv244

Kamocka, A., McGlone, E.R., Pérez-Pevida, B. et al. Candy cane revision after Roux-en-Y gastric bypass. Surg Endosc 34, 2076–2081 (2020). Doi: 10.1007/s00464-019-06988-4

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Published

2021-12-28

How to Cite

Varela Vega M, Beraldo G, Santiago P, Baranov S, Da Rosa A. Laparoscopic resolution of a case of "Candy Cane" in a postoperative period of Gastric Bypass. Cir. Urug. [Internet]. 2021 Dec. 28 [cited 2024 May 18];6(1):ecir.urug.6.1.3. Available from: https://revista.scu.org.uy/index.php/cir_urug/article/view/4915

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Issue

Vol. 6 No. 1 (2022): Revista Cirugía del Uruguay

Section

Scientific videos

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