title: Laparoscopic duodenojejunostomy omega loop with braun anastomosis as a treatment for superior mesenteric artery syndrome.
abstract: Superior mesenteric artery (SMA) syndrome is a rare clinical phenomenon caused by compression of the third portion of the duodenum by the overlying SMA, and can be easily misdiagnosed. We report a case of SMA syndrome treated with laparoscopic duodenojejunostomy omega loop with Braun anastomosis. A 24-year-old women with body mass index of 14.9 presented with a 4-year history of vague abdominal pain mainly at the epigastric region, radiating to the back associated with heartburn, repeated vomiting, and significant loss of weight during the previous 6 months. The case was misdiagnosed as acute pancreatitis. The SMA syndrome was diagnosed using CT-scan and fluoroscopy. Laparoscopic omega loop with Braun anastomosis was preformed. She did well postoperatively, and Gastrografin study showed no leak and a patent anastomosis. She was subsequently discharged on regular diet.
authors.affiliation: Prince Sultan Center for Advanced Laparoscopic Surgery, King Fahad General Hospital, PO Box 8488, Jeddah 21196, Kingdom of Saudi Arabia. tc1_sk@yahoo.com
authors.forename: Baraa K
authors.initials: BK
authors.lastname: Alnabulsi
authors.forename: Jameel T
authors.initials: JT
authors.lastname: Miro
authors.forename: Osama H
authors.initials: OH
authors.lastname: Faidah
authors.forename: Mahmoud A
authors.initials: MA
authors.lastname: Hamo
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D004385:Duodenostomy / Q000379:methods*; D005260:Female; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D013478:Superior Mesenteric Artery Syndrome / Q000601:surgery*; D055815:Young Adult