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


CONCLUSIONS
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.


CONCLUSIONS
This is a safe, effective, and relatively simple procedure for the experienced minimally invasive surgeon.
Morris
Thomas C
TC
Department of Surgery, Royal Adelaide Hospital, Level 5, Eleanor Harrald Building, Adelaide, South Australia, 5000, Australia.
Devitt
Peter G
PG
Thompson
Sarah K
SK
D000714:Anastomosis, Surgical; D004386:Duodenum / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy; D013478:Superior Mesenteric Artery Syndrome / Q000601:surgery*; D017792:Surgical Stapling; D016896:Treatment Outcome