Background

This video abstract details a case of a laparoscopic resection of a candy cane limb after a RYGB for candy cane limb syndrome. The patient was a 49 year old male s/p RYGB in 2007 who developed epigastric pain, nausea and vomiting with food requiring hospitalizations and TPN, which improved his nutritional status but symptoms were life limiting. Pre-operative work-up included UGI and EGD, both of which showed a normal appearing gastric pouch and roux limb, but a long blind limb. He was offered operative resection. The video describes the dissection and removal of the candy cane segment. The patient subsequently did well and was discharged home on post-operative day one. He remains symptom free thirty days post-operatively.