Laparoscopic Duodenojejunostomy as a Management Modality of Superior Mesenteric Artery Syndrome

Document Type : Original Article

Authors

Department of General Surgery, Ain Shams University, Cairo, Egypt

Abstract

Introduction: Superior mesenteric artery syndrome (SMAS) is a rare entity that cause duodenal obstruction. This
study analyzes twelve patients underwent laparoscopic Duodenojejunostomy as a management of SMAS.
Patients and methods: We are analyzing data of twelve patients (3 males and 9 females) underwent laparoscopic
duodenojejunostomy for SMAS, one of them underwent laparoscopic antrectomy with Roux-en-Y gastrojejunostomy
from NOV 2020 to FEB 2023, with mean age 23.3 years.
Results: Twelve patients (3 males and 9 females) were included with mean age 23.3 years. The most common
cause was idiopathic in 58.3%. Abdominal pain (91.66%), nausea and vomiting (83.33%) and weight loss (66.6%)
were the most frequent symptoms. The mean preoperative BMI was 16.06±2.3. The mean aortomesenteric angle
was 15.8±4.6. All patients underwent laparoscopic duodenojejunostomy except one patient who underwent
laparoscopic antrectomy with Roux-en-Y gastrojejunostomy with no conversion to open surgery.
Conclusion: Superior mesenteric artery syndrome (SMAS) is a rare entity that need high suspicious for diagnosis
especially in females with low BMI with upper gastrointestinal symptoms. Surgical management is the treatment of
choice to improve symptoms and quality of life.

Keywords

Ain Shams Journal of Surgery
Volume 17, Issue 1
January 2024
Pages 17-21

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