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Candy Cane Limb Revision After Roux-en-Y: A Four-Patient Case Series
Mena Louis1, Jerrell Fang2, Jay Narula3
1General Surgery, Northeast Georgia Medical Center Gainesville, Gainesville, USA.
Cureus
|August 4, 2025
Summary
Candy cane syndrome, a complication of Roux-en-Y gastric bypass, causes gastrointestinal distress due to a redundant Roux limb. Robotic surgery effectively resolves symptoms by resecting the affected limb.
Area of Science:
- Gastroenterology
- Bariatric Surgery
- Surgical Complications
Background:
- Candy cane syndrome is an uncommon complication following Roux-en-Y gastric bypass surgery.
- It presents with symptoms like nausea, vomiting, and abdominal pain due to a redundant afferent Roux limb causing food stasis.
Observation:
- Diagnosis can be challenging, mimicking other postoperative issues, requiring advanced imaging and endoscopy.
- Upper endoscopy and contrast imaging are key for identifying the redundant limb.
Findings:
- Surgical resection of the redundant limb effectively resolves symptoms.
- Robotic-assisted revisional surgery offers precise dissection and improved outcomes for treating candy cane syndrome.
Implications:
- Preventive measures during initial surgery, including proper limb measurement and anastomosis inspection, are crucial.
- Robotic-assisted resection and reconstruction lead to symptom resolution and improved quality of life.

