title: Wilkie's syndrome.
abstract: 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.
authors.affiliation: Department of Medicosurgical Gastroenterology, Erasme Hospital, Université Libre de Bruxelles, 808, Route de Lennik, 1070 Brussels, Belgium.
authors.forename: A M
authors.initials: AM
authors.lastname: Nana
authors.forename: J
authors.initials: J
authors.lastname: Closset
authors.forename: V
authors.initials: V
authors.lastname: Muls
authors.forename: J
authors.initials: J
authors.lastname: Kouame
authors.forename: J
authors.initials: J
authors.lastname: Jeanmart
authors.forename: A
authors.initials: A
authors.lastname: van Gossum
authors.forename: M
authors.initials: M
authors.lastname: Gelin
authors.forename: I
authors.initials: I
authors.lastname: El Nakadi
mesh_terms: 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*