Laparoscopic duodenojejunostomy for Superior Mesenteric Artery Syndrome

Authors

Keywords:

Superior Mesenteric Artery Syndrome, Duodenojejunostomy, Laparoscopic Surgery.

Abstract

Introduction: Superior Mesenteric Artery Syndrome is an uncommon cause of duodenal obstruction.  Symptoms may vary from mild obstruction to acute life-threatening emergencies. Physical examination does not always help in establishing the diagnosis which is based on findings from imaging studies.

Objective: To recommend the laparoscopic approach for the surgical treatment of this entity.

Case presentation: A 49-year old female patient with prior history of weight loss after chemotherapy and a two-year history of postprandial nausea, vomiting, and abdominal pain who was successfully treated by laparoscopic duodenojejunostomy is presented.

Discussion: Initial treatment is usually conservative. Recently published studies support that laparoscopic duodenojejunostomy is a safe and effective method of treatment.

Conclusions: Surgical treatment is becoming more successful and the majority of patients are symptom-free after surgery.

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References

1.Rabbia K, Faisel I. Increasing Trend of Surgical Management in Superior Mesenteric Artery Syndrome. EC Gastroenterol Dig Syst [Internet]. 2019 [Citado 01/06/2020];156:[Aprox. 2 p.]. Disponible en:

https://www.ecronicon.com/ecgds/pdf/ECGDS-06-00380.pdf

2. Valiathan G, Wani M, Lanker J, Reddy PK. A Case Series on Superior Mesenteric Artery Syndrome Surgical Management, Single Institution Experience. J Clin Diagn Res [Internet]. 2017 [Citado 01/06/2020];11(8):1-3. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28969208/

3. Chang J, Boules M, Rodriguez J, Walsh M, Rosenthal R, Kroh M. Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome: intermediate follow-up results and a review of the literature. Surg Endosc [Internet]. 2017 [Citado 01/06/2020];31(3):1180-1185. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27405482/

4. Barkhatov L, Tyukina N, Fretland ÅA, Røsok BI, Kazaryan AM, Riis R, et al. Superior mesenteric artery syndrome: quality of life after laparoscopic duodenojejunostomy. Clin Case Rep [Internet]. 2018 [Citado 01/06/2020];6(2):323-9. . Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799659/

5. Brezeanu LE, Guta O, Vlad RM, Nidelcu A, Pavelescu M, Pacurar D. Teenager with upper gastrointestinal obstruction – keep in mind the rare causes. Roman J Pediatr [Internet]. 2019 [Citado 01/06/2020];68(4):268-72. Disponible en: http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=141606071&lang=es&site=ehost-live

6. Sinagra E, Raimondo D, Albano D, Guarnotta V, Blasco M, Testai S, et al. Superior Mesenteric Artery Syndrome: Clinical, Endoscopic, and Radiological Findings. Gastroenterol Res Pract [Internet]. 2018 [Citado 01/06/2020]; 27;2018:1937416 . Disponible en: https://pubmed.ncbi.nlm.nih.gov/30224915

7. Bermas H, Fenoglio ME. Laparoscopic management of superior mesenteric artery syndrome. JSLS [Internet]. 2003 [Citado 01/06/2020];7(2):151-3. Disponible en:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015491/

8. Barchi L, Alves A, Jacob C, Caldas C, Yagi O, Nogueira T, et al. Favorable minimal invasive surgery in the treatment of superior mesenteric artery syndrome: Case report. Int J Surg Case Rep [Internet]. 2016 [Citado 01/06/2020];29:223-6. . Disponible en: http://www.sciencedirect.com/science/article/pii/S2210261216303571

9. Kirby G, Faulconer E, Robinson S, Perry A, Downing R. Superior mesenteric artery syndrome: a single centre experience of laparoscopic duodenojejunostomy as the operation of choice. Ann R Coll Surg Engl [Internet]. 2017 [Citado 01/06/2020];9(6):472-5 . Disponible en: https://pubmed.ncbi.nlm.nih.gov/28660836/

10. Zhang T, Zhang YF. Laparoscopic duodenojejunostomy for management of superior mesenteric artery syndrome. Am Surg [Internet]. 2014 [Citado 01/06/2020];80(6):E160-1. . Disponible en: https://pubmed.ncbi.nlm.nih.gov/24887778/

11. Fredericks C, Alex G, Kumar V, Luu M. Laparoscopic Duodenojejunostomy for Superior Mesenteric Artery Syndrome. Am Surg [Internet]. 2016 [Citado 01/06/2020];;82(7):e176-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27457852/

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Published

2021-05-26

How to Cite

1.
Jiménez Ramos R, Martínez Alfonso MA, Roque González R. Laparoscopic duodenojejunostomy for Superior Mesenteric Artery Syndrome. Rev haban cienc méd [Internet]. 2021 May 26 [cited 2025 Jun. 29];20(3):e3674. Available from: https://revhabanera.sld.cu/index.php/rhab/article/view/3674

Issue

Vol. 20 No. 3: May-June 2021

Section

Surgical Sciences

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