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Related Experiment Videos

Wilkie's syndrome.

A M Nana1, J Closset, V Muls

  • 1Department of Medicosurgical Gastroenterology, Erasme Hospital, Université Libre de Bruxelles, 808, Route de Lennik, 1070 Brussels, Belgium.

Surgical Endoscopy
|February 8, 2003
PubMed
Summary
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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.

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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.