Abstract
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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Baltazar U, Dunn J, Floresguerra C, Schmidt L, Browder W. Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction. South Med J 2000;93:606–608.
Palanivelu C, Rangarajan M, Senthilkumar R, Parthasarathi R, Jani K. Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome. J Soc Laparoendosc Surg 2006;10:531–534.
Welsch T, Buchler MW, Kienle P. Recalling Superior Mesenteric Artery Syndrome. Dig Surg 2007;24:149–156. doi:10.1159/000102097.
Richardson WS, Surowiec WJ. Laparoscopic repair of superior mesenteric artery syndrome. Am J Surg 2001;181:377–378. doi:10.1016/S0002-9610(01)00571-2.
Jain R. Superior mesenteric artery syndrome. Curr Treat Options Gastroenterol 2007;10:24–27. doi:10.1007/s11938-007-0053-8.
Lippl F, Hannig C, Weiß W, Allescher HD, Classen M, Kurjak M. Superior mesenteric artery syndrome: diagnosis and treatment from the gastroenterologist’s view. J Gastroenterol 2002;37:640–643. doi:10.1007/s005350200101.
Zhu Z, Qiu Y. Superior mesenteric artery syndrome following scoliosis surgery: its risk indicators and treatment strategy. World J Gastroenterol 2005;11:3307–3310.
Merrett ND, Wilson RB, Cosman P, Biankin AV. Superior mesenteric artery syndrome: diagnosis and treatment strategies. J Gastrointest Surg 2009;13:287–292. doi:10.1007/s11605-008-0695-4.
Roth EJ, Fenton LL, Gaebler-Spira DJ, Frost FS, Yarkony GM. Superior mesenteric artery syndrome in acute traumatic quadriplegia: case reports and literature review. Arch Phys Med Rehabil 1991;72:417–420.
Agrawal GA, Johnson PT, Fishman EK. Multidetector row CT of superior mesenteric artery syndrome. J Clin Gastroenterol 2007;41:62–65. doi:10.1097/MCG.0b013e31802dee64.
Bermas H, Fenoglio ME. Laparoscopic management of superior mesenteric artery syndrome. J Soc Laparoendosc Surg 2003;7:151–153.
Massoud WZ. Laparoscopic management of superior mesentric artery syndrome. Int Surg 1995;80:322–327.
Gersin KS, Heniford BT. Laparoscopic duodenojejunostomy for treatment of superior mesenteric artery syndrome. J Soc Laparoendosc Surg 1998;2:281–284.
Kingham TP, Shen R, Ren C. Laparoscopic treatment of superior mesenteric artery syndrome. J Soc Laparoendosc Surg 2004;8:376–379.
Jo JB, Song KY, Park CH. Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome: report of a case. Surg Laparosc Endosc Percutan Tech 2008;18:213–215. doi:10.1097/SLE.0b013e3181661b36.
Kim IY, Cho NC, Kim DS, Rhoe BS. Laparoscopic duodenojejunostomy for management of superior mesenteric artery syndrome: two cases report and a review of the literature. Yonsei Med J 2003;44:526–529.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Morris, T.C., Devitt, P.G. & Thompson, S.K. Laparoscopic Duodenojejunostomy for Superior Mesenteric Artery Syndrome—How I Do It. J Gastrointest Surg 13, 1870–1873 (2009). https://doi.org/10.1007/s11605-009-0883-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11605-009-0883-x