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Updated: Jun 5, 2026
07:37
Roux-en-Y Gastric Bypass Operation in Rats
Published on: June 11, 2012
["Candy cane" Roux syndrome in laparoscopic gastric by-pass]
César Romero-Mejía1, José Francisco Camacho-Aguilera, Omar Paipilla-Monroy
1Departamento de Cirugía General, Hospital General de Tijuana, Baja California, Mexico. romerocirugia@hotmail.com
Cirugia Y Cirujanos
|December 21, 2010
Summary
Roux-en-Y gastric bypass can cause "candy cane" Roux syndrome, a complication of bariatric surgery. Early diagnosis with upper GI series and surgical resection of the blind loop can resolve symptoms.
Area of Science:
- Bariatric Surgery
- Gastroenterology
- Surgical Complications
Background:
- The rising prevalence of obesity has led to increased bariatric surgeries, including Roux-en-Y gastric bypass.
- Complications such as "candy cane" Roux syndrome can occur after this procedure.
Observation:
- A 34-year-old female with morbid obesity experienced intermittent epigastric pain after Roux-en-Y gastric bypass.
- Symptoms were linked to carbonated beverage intake and position; upper GI series revealed a dilated jejunal loop.
Findings:
- "Candy cane" Roux syndrome was suspected and confirmed.
- Laparoscopic resection of the blind jejunal loop resolved the patient's symptoms.
Implications:
- High clinical suspicion is crucial for diagnosing this condition due to nonspecific symptoms.
- Upper GI series is the preferred diagnostic imaging study.
- Minimizing blind loop length and optimizing its placement during surgery can prevent this complication.
- Laparoscopic resection is an effective treatment for "candy cane" Roux syndrome.
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