Document Detail


Laparoscopic duodenojejunostomy for the treatment of superior mesenteric artery (SMA) Syndrome: case series.
MedLine Citation:
PMID:  20230246     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Superior mesenteric artery (SMA) syndrome is an atypical, rare cause of both acute and chronic high intestinal obstruction. Identification of this syndrome can be a diagnostic dilemma and is frequently made by exclusion. The most characteristic symptoms are postprandial epigastric pain, eructation, fullness, and voluminous vomiting. Symptoms are caused by compression of the third portion of the duodenum against the posterior structures by a narrow-angled SMA. When nonsurgical management is not possible or the problem is refractory, surgical intervention is necessary. In this article, we report a case series of SMA syndrome in 3 patients with radiologic evaluation confirming compression of the third portion of the duodenum by the SMA with resultant proximal dilatation. The patients all successfully underwent laparoscopic duodenojejunal anastomosis.
Authors:
Rebecca Wyten; Clive J Kelty; Gregory L Falk
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  20     ISSN:  1557-9034     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-16     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  173-6     Citation Subset:  IM    
Affiliation:
Department of Upper GI Surgery, Concord Repatriation General Hospital, Sydney, New South Wales, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Duodenostomy / methods
Female
Humans
Jejunostomy / methods*
Laparoscopy / methods*
Male
Superior Mesenteric Artery Syndrome / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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