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.