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Wilkie's syndrome.
1Department of Medicosurgical Gastroenterology, Erasme Hospital, Université Libre de Bruxelles, 808, Route de Lennik, 1070 Brussels, Belgium.
Surgical Endoscopy
|February 8, 2003
Summary
Laparoscopic duodenojejunal bypass effectively treated two young women with superior mesenteric artery syndrome (SMAS), resolving symptoms of postprandial vomiting and epigastric pain. This minimally invasive approach offers a safe and reliable new therapeutic option for SMAS.
Area of Science:
- Gastroenterology and Surgery
- Abdominal Surgery
Background:
- Superior mesenteric artery syndrome (SMAS) is a rare condition causing upper gastrointestinal obstruction.
- Symptoms include postprandial vomiting and epigastric pain, often with a significant delay in diagnosis.
Observation:
- Two young women presented with a history of 2 and 1 year of symptoms consistent with SMAS.
- Both patients underwent a laparoscopic duodenojejunal bypass procedure.
Findings:
- Patients experienced symptom resolution and resumed a normal diet by the fifth postoperative day.
- Gastrointestinal radiographic control confirmed patent anastomosis at 24 and 6 months post-surgery.
- The laparoscopic approach demonstrated reliability, safety, acceptable operating time, and short hospital stays.
Implications:
- Laparoscopic duodenojejunostomy presents a novel and effective surgical treatment for superior mesenteric artery syndrome.
- This minimally invasive technique offers rapid recovery and symptom relief.
- Further observations are needed to confirm these promising preliminary results.