Abstract
PURPOSE: Duodenal compression by the superior mesenteric artery following total proctocolectomy and ileal pouch-anal anastomosis is a rare occurrence. Previous surgical treatment involved duodenal division. The aim of this report was to describe a case with such a complication and to discuss an operative alternative. METHODS: Case report. RESULTS: Mobilization of the duodenum from its retroperitoneal attachments, without transection and reanastomosis, allowed the free passage of gas through the duodenum and recovery for the patient. CONCLUSION: This case report suggests that a more conservative approach may be successful in managing this complication.
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Dr. Goes is supported at the University of Southern California by grants from the Fundacao de Amparo a Pesquisa do Estado de Sao Paulo-FAPESP, Brazil.
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Goes, R.N., Coy, C.S.R., Amaral, C.A. et al. Superior mesenteric artery syndrome as a complication of ileal pouch-anal anastomosis. Dis Colon Rectum 38, 543–544 (1995). https://doi.org/10.1007/BF02148857
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DOI: https://doi.org/10.1007/BF02148857