ASGE DDW Videos from Around the World | 2025-NOVEL APPROACH TO THE MANAGEMENT OF CANDY CANE SYNDROME ENDOSCOPIC CLOSURE AND LUMEN-APPOSING METAL STENT FOR MARSUPIALIZATION OF THE BLIND LIMB

NOVEL APPROACH TO THE MANAGEMENT OF CANDY CANE SYNDROME ENDOSCOPIC CLOSURE AND LUMEN-APPOSING METAL STENT FOR MARSUPIALIZATION OF THE BLIND LIMB

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Video Transcription

Video Summary

Candy Cane Syndrome, a rare complication of Roux-en-Y gastric bypass, occurs due to an elongated blind limb diverting gastric contents, causing symptoms like abdominal pain and nausea. A 59-year-old female with postprandial symptoms after her bypass underwent endoscopic suturing and marsupialization (jejunojejunostomy) to manage her condition. Initially resolved, her symptoms recurred, prompting a repeat procedure. This novel approach combined blind limb closure with lamb's jejuno-jejunostomy for drainage, avoiding high-risk surgery. Post-procedure, the patient's condition improved with no adverse events. This method could benefit symptomatic patients deemed high-risk for surgery, suggesting the need for further studies.

Asset Subtitle

Andrew Mertz

Keywords

Candy Cane Syndrome

Roux-en-Y gastric bypass

endoscopic suturing

jejunojejunostomy

high-risk surgery