Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome
Jason D Fraser1, Shawn D St Peter, Jenevieve H Hughes
1Department of General Surgery, Mayo Clinic Arizona, Phoenix Arizona 85032, USA. fraser.jason@mayo.edu
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|August 8, 2009
Summary
Superior mesenteric artery (SMA) syndrome, a rare condition causing duodenal compression, can be effectively treated with laparoscopic duodenojejunostomy. This surgical approach offers patients complete symptom relief and a return to a regular diet.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Abdominal Imaging
Background:
- Superior mesenteric artery (SMA) syndrome, or Wilkie's syndrome, is a rare condition involving duodenal compression by the SMA.
- It presents with symptoms like epigastric pain, weight loss, and vomiting.
Observation:
- A 32-year-old female presented with classic symptoms of SMA syndrome.
- Diagnostic workup included upper endoscopy, CT scan, and upper GI contrast study, confirming the diagnosis.
Findings:
- The patient underwent successful laparoscopic duodenojejunostomy.
- Post-surgery, she experienced complete symptom resolution and could tolerate a regular diet.
Implications:
- Laparoscopic duodenojejunostomy is a highly effective treatment for SMA syndrome.
- This minimally invasive approach offers excellent outcomes for patients with this condition.
