title: Favorable minimal invasive surgery in the treatment of superior mesenteric artery syndrome: Case report.
abstract: BACKGROUND
  The Superior Mesenteric Artery Syndrome (SMAS) is a rare form of intestinal obstruction. The diagnosis is based on findings from imaging studies, including vascular compression of the duodenum by the SMA and can be associated with duodenal dilatation.
  
  
  METHODS
  We report a case of a patient with SMAS and recurrent episodes of intestinal obstruction, which was successfully treated by laparoscopic duodenojejunostomy.
  
  
  CONCLUSIONS
  The initial treatment is usually conservative for patient's clinical improvement. Surgery is indicated when conservative treatment fails as well for patients with recurrent symptoms. Minimal invasive surgery might be a good approach, specially in patients who suffers from this disease and currently are in depleted health conditions.
  
  
  CONCLUSIONS
  The procedure herein demonstrated may be considered safe and resolutive, with good visualization of structures, relative short surgical time and fast post-operative recovery.
authors.affiliation: Digestive Surgery Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, USP, Brazil. Electronic address: leandrobarchi@hotmail.com.
authors.forename: Leandro Cardoso
authors.initials: LC
authors.lastname: Barchi
authors.affiliation: Digestive Surgery Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, USP, Brazil.
authors.forename: Aline Marcílio
authors.initials: AM
authors.lastname: Alves
authors.affiliation: Digestive Surgery Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, USP, Brazil.
authors.forename: Carlos Eduardo
authors.initials: CE
authors.lastname: Jacob
authors.affiliation: Digestive Surgery Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, USP, Brazil.
authors.forename: Claudio José
authors.initials: CJ
authors.lastname: Caldas Bresciani
authors.affiliation: Digestive Surgery Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, USP, Brazil.
authors.forename: Osmar Kenji
authors.initials: OK
authors.lastname: Yagi
authors.affiliation: Digestive Surgery Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, USP, Brazil.
authors.forename: Tarsila Gasparotto
authors.initials: TG
authors.lastname: Nogueira
authors.affiliation: Digestive Surgery Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, USP, Brazil.
authors.forename: Ivan
authors.initials: I
authors.lastname: Cecconello
authors.affiliation: Digestive Surgery Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, USP, Brazil.
authors.forename: Bruno
authors.initials: B
authors.lastname: Zilberstein
keywords: Duodenal obstruction; Laparoscopic duodenojejunostomy; Superior mesenteric artery syndrome; Wilkie syndrome