What causes a candy cane after gastric bypass?

Candy cane syndrome is a rare complication reported in bariatric patients following Roux-en-Y gastric bypass. It occurs when there is an excessive length of roux limb proximal to gastrojejunostomy, creating the possibility for food particles to lodge and remain in the blind redundant limb.

How common is Candy Cane syndrome?

The “Candy Cane” roux syndrome was described in 2007 as a complication of RYGB in which there is excessive length of nonfunctional Roux limb proximal to the gastrojejunostomy. Only 4 cases have been reported in the literature.

Is Roux-en-Y reversible?

Background: Roux-en-Y gastric bypass (RYGB) can be reversed into normal anatomy (NA) or into sleeve gastrectomy (NASG) to address undesired side effects. Concomitant hiatal hernia repair (HHR) may be required.

Can a ruin Y gastric bypass be reversed?

Can your stomach burst after gastric sleeve?

One risk of a gastric bypass is digestive juices and partly digested food leaking through an anastomosis. This is a serious complication after gastric bypass surgery. A leak may happen up to several weeks after surgery. Most occur within a few days after surgery.

What does Candy Cane mean in gastric bypass?

Identifying the Candy Cane Deformity. The candy cane deformity is a possible complication from the Roux-en-Y procedure. Candy Cane describes the non-functioning or blind end of the Roux limb where it connects to the new small pouch in the gastric bypass operation.

Can a candy cane limb cause nausea and vomiting?

Conclusion: A redundant “candy cane” roux limb may cause persistent nausea, vomiting, and early satiety. Limiting the length and orienting the roux limb to aid in gravity drainage at the initial operation may prevent this syndrome.

Who is the doctor for candy cane syndrome?

Michael J Lee, MD, Sergey Lyass. Cedars Sinai Medical Center. Background: Bariatric surgery remains a prevalent option for the surgical management of obesity and its comorbidities. A redundant length of roux limb also known as the “candy cane” limb may produce vague symptoms that are difficult to diagnose and manage.

What are the risks of candy cane Roux syndrome?

“Candy cane” Roux syndrome–a possible complication after gastric bypass surgery A long, nonfunctional Roux limb tip may cause persistent nausea, postprandial epigastric pain, and, even, a lack of satiety. Surgeons should attempt to minimize redundancy in the Roux limb during the primary procedure.