Laparoscopic Duodenojejunostomy for Superior Mesenteric Artery Syndrome - How I Do It
Date
2009
Authors
Morris, T.
Devitt, P.
Thompson, S.
Editors
Advisors
Journal Title
Journal ISSN
Volume Title
Type:
Journal article
Citation
Journal of Gastrointestinal Surgery, 2009; 13(10):1870-1873
Statement of Responsibility
Thomas C. Morris, Peter G. Devitt and Sarah K. Thompson
Conference Name
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.