title: Laparoscopic gastric bypass with intestinal malrotation.
abstract: Intestinal malrotation is a congenital anomaly occurring in one of 500 live births. It typically presents during the first months of life, but in rare instances, it can persist undetected into adulthood when it is identified during a radiographic or surgical procedure. We present a case of intestinal malrotation discovered at the time of laparoscopic Roux-en-Y gastric bypass (LRYGBP), detail the technical aspects needed to be incorporated to complete the operation, followed by a literature review of this rare clinical scenario. Incomplete malrotation is not a contraindication to performing a LRYGBP for morbid obesity.
authors.affiliation: Department of Surgery, University of California San Francisco, San Francisco, CA 94143-0790,, USA.
authors.forename: Aaron W
authors.initials: AW
authors.lastname: James
authors.forename: Rasa
authors.initials: R
authors.lastname: Zarnegar
authors.forename: Hisae
authors.initials: H
authors.lastname: Aoki
authors.forename: Guilherme M
authors.initials: GM
authors.lastname: Campos
mesh_terms: D000328:Adult; D000075202:Contraindications; D004386:Duodenum / Q000002:abnormalities; D005260:Female; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D007422:Intestines / Q000002:abnormalities*; D007582:Jejunostomy; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000601:surgery