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Id: 17627
Author: Dan, Dilip(aut); Bascombe, Nigel(aut); Harnanan, Dave(aut); Hariharan, Seetharaman(aut); Naraynsingh, Vijay(aut).
Title: Malrotation of the midgut in laparoscopic Roux-en-Y gastric bypass
Source: Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery;13(9):678-680, Sep. 2010.
Language: en.
Abstract: Malrotation of the midgut is a congenital anomaly resulting from abnormal rotation of the primitive midgut during embryonic development. The prevalence of this entity is difficult to ascertain because some patients remain asymptomatic and the condition may be diagnosed incidentally during radiological investigations or surgical procedures. The case of asymptomatic intestinal malrotation reported here was discovered in a morbidly obese adult during a Laparoscopic Roux en Y gastric bypass (LRYGB) and successfully completed the procedure. Laparoscopic surgeons need to be mindful of the possibility of such anomalies during bowel surgery. Routine appendectomy should be considered as a useful addition to LRYGB in these patients.
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