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Laparoscopic Duodenojejunostomy for Superior Mesenteric Artery Syndrome—How I Do It

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.

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Acknowledgment

We thank Quoc Nguyen from the Medical Art & Design, Royal Adelaide Hospital for creating Fig. 2 and for adapting Figs. 3 and 4 to illustrate our operative technique. We also thank Professor Glyn Jamieson for reviewing this manuscript.

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Correspondence to Sarah K. Thompson.

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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 (2009). https://doi.org/10.1007/s11605-009-0883-x

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  • DOI: https://doi.org/10.1007/s11605-009-0883-x

Keywords

  • Superior mesenteric artery syndrome
  • Laparoscopy
  • Duodenojejunostomy
  • Wilkie syndrome