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Revista Habanera de Ciencias Médicas

On-line version ISSN 1729-519X

Abstract

JIMENEZ RAMOS, Raúl; MARTINEZ ALFONSO, Miguel A.  and  ROQUE GONZALEZ, Rosalba. Laparoscopic duodenojejunostomy for Superior Mesenteric Artery Syndrome. Rev haban cienc méd [online]. 2021, vol.20, n.3, e3674.  Epub June 16, 2021. ISSN 1729-519X.

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.

Keywords : Superior Mesenteric Artery Syndrome; Duodenojejunostomy; Laparoscopic Surgery.

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