title: Laparoscopic Roux-en-Y duodenojejunal bypass for superior mesenteric artery syndrome: case reports and review of the literature.
abstract: BACKGROUND
  Superior mesenteric artery syndrome is a clearly defined and uncommon medical condition. Surgical intervention is needed for failed long-term medical management.
  
  
  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.
  
  
  METHODS
  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.
authors.affiliation: The Bariatric and Metabolic Institute and Section of Minimally Invasive and Endoscopic Surgery, Cleveland Clinic Florida, Weston, FL, USA.
authors.forename: Jihui
authors.initials: J
authors.lastname: Li
authors.forename: Elias
authors.initials: E
authors.lastname: Chousleb
authors.forename: Jesus
authors.initials: J
authors.lastname: Hidalgo
authors.forename: Sheetal
authors.initials: S
authors.lastname: Patel
authors.forename: Samuel
authors.initials: S
authors.lastname: Szomstein
authors.forename: Raul J
authors.initials: RJ
authors.lastname: Rosenthal
mesh_terms: D000293:Adolescent; D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D004386:Duodenum / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013478:Superior Mesenteric Artery Syndrome / Q000601:surgery*; D015431:Weight Loss; D055815:Young Adult