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2021, Number 3

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Revista Habanera de Ciencias Médicas 2021; 20 (3)

Laparoscopic duodenojejunostomy for Superior Mesenteric Artery Syndrome

Jiménez RR, Martínez AMA, Roque GR
Full text How to cite this article

Language: Spanish
References: 11
Page: 1-6
PDF size: 611.98 Kb.


Key words:

superior mesenteric artery syndrome, duodenojejunostomy, laparoscopic surgery.

ABSTRACT

Introduction: Superior Mesenteric Artery Syndrome is an uncommon cause of duodenal obstruction. Symptoms may vary from mild obstruction to acute life-threatening emergencies. Physical examination does not always help in establishing the diagnosis which is based on findings from imaging studies.
Objective: To recommend the laparoscopic approach for the surgical treatment of this entity.
Case presentation: A 49-year old female patient with prior history of weight loss after chemotherapy and a two-year history of postprandial nausea, vomiting, and abdominal pain who was successfully treated by laparoscopic duodenojejunostomy is presented.
Discussion: Initial treatment is usually conservative. Recently published studies support that laparoscopic duodenojejunostomy is a safe and effective method of treatment.
Conclusions: Surgical treatment is becoming more successful and the majority of patients are symptom-free after surgery.


REFERENCES

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  2. Valiathan G, Wani M, Lanker J, Reddy PK. A Case Series on Superior Mesenteric Artery Syndrome Surgical Management, Single Institution Experience. J Clin Diagn Res [Internet]. 2017 [Citado 01/06/2020];11(8):1-3. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/28969208/

  3. Chang J, Boules M, Rodriguez J, Walsh M, Rosenthal R, Kroh M. Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome: intermediate follow-up results and a review of the literature. Surg Endosc [Internet]. 2017 [Citado 01/06/2020];31(3):1180-1185. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/27405482/

  4. Barkhatov L, Tyukina N, Fretland ÅA, Røsok BI, Kazaryan AM, Riis R, et al. Superior mesenteric artery syndrome: quality of life after laparoscopic duodenojejunostomy. Clin Case Rep [Internet]. 2018 [Citado 01/06/2020];6(2):323-9. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799659/

  5. Brezeanu LE, Guta O, Vlad RM, Nidelcu A, Pavelescu M, Pacurar D. Teenager with upper gastrointestinal obstruction - keep in mind the rare causes. Roman J Pediatr [Internet]. 2019 [Citado 01/06/2020];68(4):268-72. Disponible en: Disponible en: http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=141606071&lang=es&site=ehost-live

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  8. Barchi L, Alves A, Jacob C, Caldas C, Yagi O, Nogueira T, et al. Favorable minimal invasive surgery in the treatment of superior mesenteric artery syndrome: Case report. Int J Surg Case Rep [Internet]. 2016 [Citado 01/06/2020];29:223-6. . Disponible en: Disponible en: http://www.sciencedirect.com/science/article/pii/S2210261216303571

  9. Kirby G, Faulconer E, Robinson S, Perry A, Downing R. Superior mesenteric artery syndrome: a single centre experience of laparoscopic duodenojejunostomy as the operation of choice. Ann R Coll Surg Engl [Internet]. 2017 [Citado 01/06/2020];9(6):472-5. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/28660836/

  10. Zhang T, Zhang YF. Laparoscopic duodenojejunostomy for management of superior mesenteric artery syndrome. Am Surg [Internet]. 2014 [Citado 01/06/2020];80(6):E160-1. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/24887778/

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