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.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Kumar A,Baksi A,Yadavalli SD,Aggarwal Sdoi
10.1007/s11695-020-05162-3subject
Has Abstractpub_date
2021-01-19 00:00:00eissn
0960-8923issn
1708-0428pii
10.1007/s11695-020-05162-3pub_type
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