title: Experience with the duodenal switch operation in the presence of intestinal malrotation.
abstract: The presence of intestinal malrotation (IM) may pose unexpected problems during bariatric operations. We reviewed the records of patients with IM undergoing bariatric operations at our institution over the last 5 years. Three patients underwent four procedures. These included an open duodenal switch, an attempted laparoscopic gastric bypass with open duodenal switch as a second-stage procedure, and lastly a laparoscopic robot-assisted duodenal switch. All patients have had good outcomes. The key anatomic principles of a tension-free duodeno-enterostomy and maintaining appropriate orientation at the distal enteroenterostomy are emphasized.
authors.affiliation: Creighton University Medical Center, Omaha, NE, USA.
authors.forename: Varun
authors.initials: V
authors.lastname: Puri
authors.forename: Jyoti
authors.initials: J
authors.lastname: Ramachandran
authors.forename: Ranjan
authors.initials: R
authors.lastname: Sudan
mesh_terms: D050110:Bariatric Surgery / Q000379:methods*; D004766:Enterostomy; D005260:Female; D006801:Humans; D007422:Intestines / Q000002:abnormalities*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology* / Q000601:surgery; D012371:Robotics