Laparoscopic duodenojejunostomy for Superior Mesenteric Artery Syndrome

Introduction: Superior Mesenteric Artery Syndrome is an uncommon cause of duodenal obstruction.  Symptoms may vary from mild obstruction to acute life-threatening emergencies. Physical examination does not always help in establishing the diagnosis which is based on findings from imaging studies. Obj...

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Bibliographic Details
Main Authors: Raúl Jiménez Ramos (Author), Miguel Angel Martínez Alfonso (Author), Rosalba Roque González (Author)
Format: Book
Published: Universidad de Ciencias Médicas de La Habana, 2021-05-01T00:00:00Z.
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Summary:Introduction: Superior Mesenteric Artery Syndrome is an uncommon cause of duodenal obstruction.  Symptoms may vary from mild obstruction to acute life-threatening emergencies. Physical examination does not always help in establishing the diagnosis which is based on findings from imaging studies. Objective: To recommend the laparoscopic approach for the surgical treatment of this entity. Case presentation: A 49-year old female patient with prior history of weight loss after chemotherapy and a two-year history of postprandial nausea, vomiting, and abdominal pain who was successfully treated by laparoscopic duodenojejunostomy is presented. Discussion: Initial treatment is usually conservative. Recently published studies support that laparoscopic duodenojejunostomy is a safe and effective method of treatment. Conclusions: Surgical treatment is becoming more successful and the majority of patients are symptom-free after surgery.
Item Description:1729-519X