Gastrointestinal reconstruction in a patient with intestinal malrotation
Epublication WebSurg.com, Nov 2012;12(11). URL: http://websurg.com/doi/vd01en3822
Rotational anomalies occur as a result of an arrest of normal rotation of the embryonic gut around the superior mesenteric artery. It occurs at a rate of 1 in 500 live births. Twenty-five percent of patients present after age 1 year and into late adulthood; many are recognized intraoperatively during other procedures or at autopsy. The video demonstrates a laparoscopic Roux-en-Y gastrointestinal reconstruction after distal gastrectomy for adenocarcinoma at the antrum in a patient with type IIc intestinal malrotation that was incidentally detected in the operation.