We present the case of a 71-year-old female patient with intractable vomiting, food intolerance and cachexia after total gastrectomy for gastric cancer. Workup revealed her symptoms stemmed from candy cane syndrome.
Surgical treatment was not an option in such a high-risk patient and we were able to successfully treat her with a novel endoscopic approach using a double-magnet device followed be septotomy to marsupialize the blind loop, achieving full resolution of symptoms and weight regain.
No complications were noticed and at two years follow up the patient was free of symptoms and her weight had stabilized.
In our patient’s case, septotomy and marsupialization of the blind pouch proved to solve her long standing condition.
Having a safe and effective endoscopic treatment for CCS is desirable and achieving a reproducible endoscopic technique for blind loop marsupialization may represent this simple, safe and effective therapy