title: Laparoscopic Roux-en-Y duodenojejunostomy for superior mesenteric artery syndrome in a 6-year-old girl: A case report of a new minimally surgical technique for children.
abstract: We present the first case report of laparoscopic Roux-en-Y duodenojejunostomy utilizing minimally invasive surgery to treat superior mesenteric artery syndrome in a child. A 6-year-old girl presented with a 3-year history of intermittent postprandial epigastric pain and anorexia. An upper gastrointestinal series revealed dilatation of the first and second parts of the duodenum and an abrupt vertical cut-off at the third portion. Despite conservative treatment for 7 weeks, there was no resolution of her symptoms, so the decision was made to proceed with a laparoscopic Roux-en-Y duodenojejunostomy. On follow-up 9 months later, there had been no recurrence of her symptoms.
authors.affiliation: Department of Pediatric Surgery, The Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka, Japan.
authors.forename: Masahito
authors.initials: M
authors.lastname: Sato
authors.forename: Kengo
authors.initials: K
authors.lastname: Hattori
authors.forename: Yuya
authors.initials: Y
authors.lastname: Miyauchi
mesh_terms: D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D002648:Child; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D013478:Superior Mesenteric Artery Syndrome / Q000601:surgery*
keywords: Laparoscopy; SMA syndrome; pediatric