Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome--how I do it.
Journal of Gastrointestinal Surgery 2009 October
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.
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.
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