Published in:
01-03-2020 | Jejunostomy | Classics in Abdominal Radiology
Candy cane sign
Published in: Abdominal Radiology | Issue 3/2020
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“Candy cane” is a term used to refer to the excessive length of the blind jejunal limb in a gastro- or esophago-jejunostomy in reference to the so-called cane-shaped candy [1]. In this reference, the candy cane represents the efferent jejunal limb, and the anastomosis is located on the handle of the cane (Fig. 1) [1].
Fig. 1
a Radiograph taken after barium meal showing the candy cane configuration of an intrathoracic esophago-jejunostomy in a patient with total gastrectomy. The partially opacified distal esophagus (1) is connected to the efferent jejunal limb (3) at the esophago-jejunostomy (2). An excessively long blind jejunal limb (4) is also visualized giving rise to the candy cane appearance (4). b The resemblance with a candy cane is shown in this overlay image. Photo credit (candy cane): Evan Amos, downloaded from Wikipedia November 11, 2019 (https://upload.wikimedia.org/wikipedia/commons/d/de/Candy-Cane-Classic.jpg)
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