Cargando…

Candy cane syndrome presenting with refractory heartburn 15 years after Roux-en-Y bypass

Candy cane syndrome (CCS) is a rare complication of Roux-en-Y gastric bypass (RYGB), in which the afferent jejunal limb is excessively long. Common symptoms include abdominal pain, nausea and vomiting. A 57-year-old female with a history of RYGB 15 years prior to presentation reported 7 months of pe...

Descripción completa

Detalles Bibliográficos
Autores principales: Prakash, Shahana, Saavedra, Ramses, Lehmann, Ryan, Mokadem, Mohamad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10024617/
https://www.ncbi.nlm.nih.gov/pubmed/36942285
http://dx.doi.org/10.1093/jscr/rjad130
_version_ 1784909145996001280
author Prakash, Shahana
Saavedra, Ramses
Lehmann, Ryan
Mokadem, Mohamad
author_facet Prakash, Shahana
Saavedra, Ramses
Lehmann, Ryan
Mokadem, Mohamad
author_sort Prakash, Shahana
collection PubMed
description Candy cane syndrome (CCS) is a rare complication of Roux-en-Y gastric bypass (RYGB), in which the afferent jejunal limb is excessively long. Common symptoms include abdominal pain, nausea and vomiting. A 57-year-old female with a history of RYGB 15 years prior to presentation reported 7 months of persistent heartburn refractory to proton pump inhibitors. Upper endoscopy revealed a 9 cm blind, afferent jejunal limb. After the blind limb was resected laparoscopically, her symptoms resolved. Fifteen years is the longest duration reported from time of RYGB to symptom onset of CCS. Furthermore, heartburn is less frequently seen as a presenting complaint of CCS. Clinicians should thus maintain a high index of suspicion for CCS in patients with refractory heartburn and a history of RYGB, regardless of how long ago the RYGB was performed.
format Online
Article
Text
id pubmed-10024617
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-100246172023-03-19 Candy cane syndrome presenting with refractory heartburn 15 years after Roux-en-Y bypass Prakash, Shahana Saavedra, Ramses Lehmann, Ryan Mokadem, Mohamad J Surg Case Rep Case Report Candy cane syndrome (CCS) is a rare complication of Roux-en-Y gastric bypass (RYGB), in which the afferent jejunal limb is excessively long. Common symptoms include abdominal pain, nausea and vomiting. A 57-year-old female with a history of RYGB 15 years prior to presentation reported 7 months of persistent heartburn refractory to proton pump inhibitors. Upper endoscopy revealed a 9 cm blind, afferent jejunal limb. After the blind limb was resected laparoscopically, her symptoms resolved. Fifteen years is the longest duration reported from time of RYGB to symptom onset of CCS. Furthermore, heartburn is less frequently seen as a presenting complaint of CCS. Clinicians should thus maintain a high index of suspicion for CCS in patients with refractory heartburn and a history of RYGB, regardless of how long ago the RYGB was performed. Oxford University Press 2023-03-18 /pmc/articles/PMC10024617/ /pubmed/36942285 http://dx.doi.org/10.1093/jscr/rjad130 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Prakash, Shahana
Saavedra, Ramses
Lehmann, Ryan
Mokadem, Mohamad
Candy cane syndrome presenting with refractory heartburn 15 years after Roux-en-Y bypass
title Candy cane syndrome presenting with refractory heartburn 15 years after Roux-en-Y bypass
title_full Candy cane syndrome presenting with refractory heartburn 15 years after Roux-en-Y bypass
title_fullStr Candy cane syndrome presenting with refractory heartburn 15 years after Roux-en-Y bypass
title_full_unstemmed Candy cane syndrome presenting with refractory heartburn 15 years after Roux-en-Y bypass
title_short Candy cane syndrome presenting with refractory heartburn 15 years after Roux-en-Y bypass
title_sort candy cane syndrome presenting with refractory heartburn 15 years after roux-en-y bypass
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10024617/
https://www.ncbi.nlm.nih.gov/pubmed/36942285
http://dx.doi.org/10.1093/jscr/rjad130
work_keys_str_mv AT prakashshahana candycanesyndromepresentingwithrefractoryheartburn15yearsafterrouxenybypass
AT saavedraramses candycanesyndromepresentingwithrefractoryheartburn15yearsafterrouxenybypass
AT lehmannryan candycanesyndromepresentingwithrefractoryheartburn15yearsafterrouxenybypass
AT mokademmohamad candycanesyndromepresentingwithrefractoryheartburn15yearsafterrouxenybypass