Gastric remnant volvulus following gastric sleeve conversion to Roux-en-Y gastric bypass: a case report.

Abstract

Gastric remnant volvulus following Roux-en-Y gastric bypass (RYGB) surgery is rare, with only two previously reported cases. Herein, we present the first case of gastric remnant volvulus following gastric sleeve conversion to RYGB in a 32-year-old female. Management for gastric remnant volvulus has not been clearly described in the literature due to the rarity of cases; however, previously documented cases of gastric remnant volvulus following RYGB were managed with gastropexy or resection of the gastric remnant. Due to anatomical limitations, gastropexy was not an option for our patient, and the remnant stomach was resected. Although management options are still evolving, surgical intervention is likely indicated for gastric remnant volvulus that develops following RYGB. To improve patient outcomes and establish more comprehensive guidelines for this uncommon condition, further studies on the management of post-RYGB gastric remnant volvulus are warranted since gastric sleeve conversion to RYGB is becoming more prominent.