title: Superior mesenteric artery syndrome treated with single-incision laparoscopy-assisted duodenojejunostomy.
abstract: Superior mesenteric artery (SMA) syndrome is an uncommon disease resulting from compression and partial obstruction of the third portion of the duodenum from the SMA. A 77-year-old man, who did not have a history of surgery, experienced repeated vomiting and developed abdominal distension. Abdominal CT showed a narrowed third portion of the duodenum, with a distended stomach and proximal duodenum. The patient was diagnosed as having SMA syndrome and was initially treated conservatively, but his condition did not improve. Single-incision laparoscopy-assisted duodenojejunostomy was performed. The patient recovered well and was discharged from hospital on postoperative day 8. Laparoscopic treatment is feasible for the treatment of SMA syndrome given its safety and minimal invasiveness. This is a report of the first case of single-incision laparoscopy-assisted duodenojejunostomy. This procedure is safer and less invasive than a conventional laparoscopic approach in a patient with SMA syndrome.
authors.affiliation: Departments of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Tokyo, Japan.
authors.forename: Seiichi
authors.initials: S
authors.lastname: Shinji
authors.forename: Satoshi
authors.initials: S
authors.lastname: Matsumoto
authors.forename: Hayato
authors.initials: H
authors.lastname: Kan
authors.forename: Itsuo
authors.initials: I
authors.lastname: Fujita
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Kanazawa
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yamada
authors.forename: Nobutoshi
authors.initials: N
authors.lastname: Hagiwara
authors.forename: Michihiro
authors.initials: M
authors.lastname: Koizumi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Onodera
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Ko
authors.forename: Tadashi
authors.initials: T
authors.lastname: Machida
authors.forename: Eiji
authors.initials: E
authors.lastname: Uchida
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D004385:Duodenostomy / Q000379:methods*; D004386:Duodenum / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D011859:Radiography; D013478:Superior Mesenteric Artery Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Duodenojejunostomy; single-incision laparoscopic surgery; superior mesenteric artery syndrome