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

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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.

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Authors and Affiliations

  1. Department of Surgical Disciplines, All India Institute of Medical Sciences, Ansari Nagar (East), New Delhi, 110029, India

    Arun Kumar, Sai Divya Yadavalli & Sandeep Aggarwal

  2. Department of Surgical Disciplines, All India Institute of Medical Sciences, 110029, New Delhi, India

    Aditya Baksi

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  1. Arun Kumar
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  2. Aditya Baksi
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  3. Sai Divya Yadavalli
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  4. Sandeep Aggarwal
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Correspondence to Sandeep Aggarwal.

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Kumar, A., Baksi, A., Yadavalli, S.D. et al. Incidental Jejunal Lesion Necessitating Intraoperative Change of Plan During Bariatric Surgery: a Video Case Report. OBES SURG 31, 2344–2345 (2021). https://doi.org/10.1007/s11695-020-05162-3

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  • DOI: https://doi.org/10.1007/s11695-020-05162-3

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