Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome--how I do it
Thomas C Morris1, Peter G Devitt, Sarah K Thompson
1Department of Surgery, Royal Adelaide Hospital, Level 5, Eleanor Harrald Building, Adelaide, South Australia, 5000, Australia.
Introduction:
Superior mesenteric artery (SMA) syndrome is a well-described condition involving mechanical compression of the third part of the duodenum by the SMA and the aorta, resulting in proximal obstruction.
Discussion:
Although there are a handful of case reports describing various techniques of laparoscopic duodenojejunostomy, a technique that involves creating the anastomosis in the infracolic compartment provides a more dependent stoma for the patient.
Conclusion:
This is a safe, effective, and relatively simple procedure for the experienced minimally invasive surgeon.
