Wilkie's syndrome.
A superior mesenteric artery syndrome (SMAS) was diagnosed in two young women with, respectively, a 2- and 1-year history of postprandial vomiting and epigastric pain. The patients underwent a laparoscopic duodenojejunal bypass, and resumed a normal diet on the fifth postoperative day. The patients are still symptom-free with patent anastomosis on gastrointestinal radiographic control at 24 and 6 months, respectively, following their operation. Herein we also describe the varying clinical presentation of this rare syndrome, as well as treatment options. We conclude that laparoscopic duodenojejunostomy offers a new therapeutic approach to SMAS. It is reliable and safe; the operating time is acceptable; and diet recovery and hospital stay are both short. However, these preliminary results still need to be confirmed by further observations.
Nana
A M
AM
Department of Medicosurgical Gastroenterology, Erasme Hospital, Université Libre de Bruxelles, 808, Route de Lennik, 1070 Brussels, Belgium.
Closset
J
J
Muls
V
V
Kouame
J
J
Jeanmart
J
J
van Gossum
A
A
Gelin
M
M
El Nakadi
I
I
D000293:Adolescent; D000328:Adult; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy; D013478:Superior Mesenteric Artery Syndrome / Q000175:diagnosis / Q000601:surgery*