Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome--how I do it.

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.