Incidental Jejunal Lesion Necessitating Intraoperative Change of Plan During Bariatric Surgery: a Video Case Report

Incidental gastric and small bowel lesions are commonly encountered during bariatric surgery. Resection of these lesions with negative margins in the same sitting is curative; however, this may necessitate intraoperative change of plan. We present a 44-year-old super obese lady in whom an exophytic...

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Vydáno v:Obesity surgery Ročník 31; číslo 5; s. 2344 - 2345
Hlavní autoři: Kumar, Arun, Baksi, Aditya, Yadavalli, Sai Divya, Aggarwal, Sandeep
Médium: Journal Article
Jazyk:angličtina
Vydáno: New York Springer US 01.05.2021
Springer Nature B.V
Témata:
Adult
Bariatric Surgery
Case reports
Gastric Bypass - adverse effects
Gastrointestinal surgery
Humans
Jejunum - surgery
Laparoscopy
Lesions
Medicine
Medicine & Public Health
Multimedia Article
Obesity, Morbid - surgery
Surgery
Incidental jejunal lesion
Ectopic pancreas
Heterotopic pancreas
Bariatric surgery
ISSN:0960-8923, 1708-0428, 1708-0428
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Abstract Incidental gastric and small bowel lesions are commonly encountered during bariatric surgery. Resection of these lesions with negative margins in the same sitting is curative; however, this may necessitate intraoperative change of plan. We present a 44-year-old super obese lady in whom an exophytic jejunal mass was found at 80 cm from the ligament of Treitz, which necessitated a change of procedure from one anastomosis gastric bypass (OAGB) to Roux-en-Y gastric bypass (RYGB). The final pathology was ectopic pancreatic tissue. Running the small bowel during initial diagnostic laparoscopy should be a routine step before division of stomach, to avoid technical complexities when operative plan is changed in order to resect an incidentaloma. Bariatric surgeons should be well versed with all the standard bariatric procedures.
AbstractList Incidental gastric and small bowel lesions are commonly encountered during bariatric surgery. Resection of these lesions with negative margins in the same sitting is curative; however, this may necessitate intraoperative change of plan. We present a 44-year-old super obese lady in whom an exophytic jejunal mass was found at 80 cm from the ligament of Treitz, which necessitated a change of procedure from one anastomosis gastric bypass (OAGB) to Roux-en-Y gastric bypass (RYGB). The final pathology was ectopic pancreatic tissue. Running the small bowel during initial diagnostic laparoscopy should be a routine step before division of stomach, to avoid technical complexities when operative plan is changed in order to resect an incidentaloma. Bariatric surgeons should be well versed with all the standard bariatric procedures.
Incidental gastric and small bowel lesions are commonly encountered during bariatric surgery. Resection of these lesions with negative margins in the same sitting is curative; however, this may necessitate intraoperative change of plan. We present a 44-year-old super obese lady in whom an exophytic jejunal mass was found at 80 cm from the ligament of Treitz, which necessitated a change of procedure from one anastomosis gastric bypass (OAGB) to Roux-en-Y gastric bypass (RYGB). The final pathology was ectopic pancreatic tissue. Running the small bowel during initial diagnostic laparoscopy should be a routine step before division of stomach, to avoid technical complexities when operative plan is changed in order to resect an incidentaloma. Bariatric surgeons should be well versed with all the standard bariatric procedures.
Incidental gastric and small bowel lesions are commonly encountered during bariatric surgery. Resection of these lesions with negative margins in the same sitting is curative; however, this may necessitate intraoperative change of plan. We present a 44-year-old super obese lady in whom an exophytic jejunal mass was found at 80 cm from the ligament of Treitz, which necessitated a change of procedure from one anastomosis gastric bypass (OAGB) to Roux-en-Y gastric bypass (RYGB). The final pathology was ectopic pancreatic tissue. Running the small bowel during initial diagnostic laparoscopy should be a routine step before division of stomach, to avoid technical complexities when operative plan is changed in order to resect an incidentaloma. Bariatric surgeons should be well versed with all the standard bariatric procedures.Incidental gastric and small bowel lesions are commonly encountered during bariatric surgery. Resection of these lesions with negative margins in the same sitting is curative; however, this may necessitate intraoperative change of plan. We present a 44-year-old super obese lady in whom an exophytic jejunal mass was found at 80 cm from the ligament of Treitz, which necessitated a change of procedure from one anastomosis gastric bypass (OAGB) to Roux-en-Y gastric bypass (RYGB). The final pathology was ectopic pancreatic tissue. Running the small bowel during initial diagnostic laparoscopy should be a routine step before division of stomach, to avoid technical complexities when operative plan is changed in order to resect an incidentaloma. Bariatric surgeons should be well versed with all the standard bariatric procedures.
Author Baksi, Aditya
Aggarwal, Sandeep
Kumar, Arun
Yadavalli, Sai Divya
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  organization: Department of Surgical Disciplines, All India Institute of Medical Sciences
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Cites_doi 10.12659/AJCR.916369
10.1186/s13104-016-1995-5
10.1007/s00464-006-9079-6
10.1016/j.crad.2010.01.005
10.1016/j.soard.2016.09.019
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Keywords Incidental jejunal lesion
Ectopic pancreas
Heterotopic pancreas
Bariatric surgery
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SubjectTerms Adult
Bariatric Surgery
Case reports
Gastric Bypass - adverse effects
Gastrointestinal surgery
Humans
Jejunum - surgery
Laparoscopy
Lesions
Medicine
Medicine & Public Health
Multimedia Article
Obesity, Morbid - surgery
Surgery
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