Surgical Management of Candy Cane Syndrome After Roux-en-Y Gastric Bypass: A Case Report Highlighting Diagnostic and Therapeutic Considerations.

Candy cane syndrome (CCS) is a rare complication of Roux-en-Y gastric bypass, caused by a redundant blind afferent limb at the gastrojejunostomy anastomosis. It typically presents with persistent postprandial abdominal pain, nausea, and vomiting, significantly impacting quality of life. We report the case of a 39-year-old woman who developed chronic upper abdominal discomfort two years after Roux-en-Y gastric bypass. Symptoms persisted despite conservative management, and CCS was ultimately identified as the underlying cause. Surgical resection of the redundant limb was performed, resulting in marked symptomatic relief. This case highlights the critical role of clinical suspicion and timely surgical intervention in the recognition and management of CCS while underscoring its significant impact on function and quality of life in post-bariatric surgery patients.