Laparoscopic Duodenojejunostomy as a Management Modality of Superior Mesenteric Artery Syndrome | ||
| Ain Shams Journal of Surgery | ||
| Volume 17, Issue 1, January 2024, Pages 17-21 PDF (433.37 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2024.336991 | ||
| Authors | ||
| Mohamed H. Zaid* ; Mohamed Ahmed Abo El-Naga; Kamal Elsaid | ||
| Department of General Surgery, Ain Shams University, Cairo, Egypt | ||
| Abstract | ||
| Introduction: Superior mesenteric artery syndrome (SMAS) is a rare entity that cause duodenal obstruction. This study analyzes twelve patients underwent laparoscopic Duodenojejunostomy as a management of SMAS. Patients and methods: We are analyzing data of twelve patients (3 males and 9 females) underwent laparoscopic duodenojejunostomy for SMAS, one of them underwent laparoscopic antrectomy with Roux-en-Y gastrojejunostomy from NOV 2020 to FEB 2023, with mean age 23.3 years. Results: Twelve patients (3 males and 9 females) were included with mean age 23.3 years. The most common cause was idiopathic in 58.3%. Abdominal pain (91.66%), nausea and vomiting (83.33%) and weight loss (66.6%) were the most frequent symptoms. The mean preoperative BMI was 16.06±2.3. The mean aortomesenteric angle was 15.8±4.6. All patients underwent laparoscopic duodenojejunostomy except one patient who underwent laparoscopic antrectomy with Roux-en-Y gastrojejunostomy with no conversion to open surgery. Conclusion: Superior mesenteric artery syndrome (SMAS) is a rare entity that need high suspicious for diagnosis especially in females with low BMI with upper gastrointestinal symptoms. Surgical management is the treatment of choice to improve symptoms and quality of life. | ||
| Keywords | ||
| Laparoscopic duodenojejunostomy; superior mesenteric artery syndrome; chronic duodenal obstruction | ||
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