Laparoscopic Roux-en-Y duodenojejunal bypass for superior mesenteric artery syndrome: case reports and review of the literature.
作者信息
Li Jihui, Chousleb Elias, Hidalgo Jesus, Patel Sheetal, Szomstein Samuel, Rosenthal Raul J
机构信息
The Bariatric and Metabolic Institute and Section of Minimally Invasive and Endoscopic Surgery, Cleveland Clinic Florida, Weston, FL, USA.
出版信息
Surg Laparosc Endosc Percutan Tech. 2011 Dec;21(6):e344-7. doi: 10.1097/SLE.0b013e31823ba2cd.
INTRODUCTION
Superior mesenteric artery syndrome is a clearly defined and uncommon medical condition. Surgical intervention is needed for failed long-term medical management.
MATERIAL AND METHODS
We report a series of 3 cases, a 17-year-old woman, a 23-year-old man, and a 50-year-old woman that were successfully treated by Roux-en-Y duodenojejunal bypass using a laparoscopic approach.
TECHNIQUE
A 5-trocar laparoscopic approach was used for the surgery. A 75 cm long Roux limb was used in all cases.
RESULTS
The postoperative period was unremarkable and symptoms of obstruction subsided in all 3 cases.
CONCLUSIONS
Laparoscopic duodenojejunal bypass seems to be a feasible and safe treatment option for superior mesenteric artery syndrome.
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