Superior Mesenteric Artery Syndrome Managed with Laparoscopic Duodenojejunostomy

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Surgical Outcomes

Background:

• Superior mesenteric artery (SMA) syndrome is a rare condition requiring surgical intervention when conservative management is ineffective.
• Existing surgical techniques include division of the ligament of Treitz, gastrojejunostomy, and duodenojejunostomy.

Purpose of the Study:

• To evaluate the safety and feasibility of laparoscopic duodenojejunostomy for treating SMA syndrome.
• To assess the clinical and radiological outcomes of this laparoscopic procedure.

Main Methods:

• A retrospective case series of eleven patients who underwent laparoscopic duodenojejunostomy for SMA syndrome.
• Data collection included demographics, symptoms, comorbidities, BMI, operative details, complications, and follow-up outcomes.

Main Results:

• No intraoperative or 30-day postoperative complications or mortality were observed.
• Complete symptom resolution was achieved in 73% of patients, with a median BMI increase of 2 kg/m² at 16 months follow-up.

Conclusions:

• Laparoscopic duodenojejunostomy is a safe and technically feasible treatment for SMA syndrome.
• This procedure should be considered for patients with refractory SMA syndrome unresponsive to conservative management.