title: Laparoscopic Toupet fundoplication with duodenojejunostomy for the management of superior mesenteric artery syndrome with reflux symptoms.
abstract: BACKGROUND
  The patient had symptoms of GERD and the reflux even caused the symptom of cough. Gaining weight is a risk factor for the treatment of reflux as it could exacerbated symptoms of reflux and the drug treatment is not effective. Surgical intervention becomes necessary when there is failure following conservative medical therapy or the patient.
  
  
  METHODS
  The patient was not satisfied with the drug treatment.
  
  
  METHODS
  Superior mesenteric artery syndrome, gastroesophageal reflux disease.
  
  
  METHODS
  Laparoscopic Toupet fundoplication with duodenojejunostomy.
  
  
  RESULTS
  The patient discharged from hospital 10 days after surgery without any postoperative complication. The patient achieved complete relief of symptoms and discontinuation of drug.
  Superior mesenteric artery (SMA) syndrome may manifest the symptoms of GERD such as heartburn, acid reflux and cough. It is necessary to complete examination to exclude superior mesenteric artery syndrome for these patients. Laparoscopic fundoplication with duodenojejunostomy provided an effective treatment for patients who failed drug treatment.
authors.affiliation: Department of Vascular Surgery, Xuan Wu Hospital, Capital Medical University Department of Gastroesophageal Reflux Disease, The General Hospital of the PLA Rocket, Beijing, China.
authors.forename: Chao
authors.initials: C
authors.lastname: Yan
authors.forename: Zhi-Wei
authors.initials: ZW
authors.lastname: Hu
authors.forename: Ji-Min
authors.initials: JM
authors.lastname: Wu
authors.forename: Chao
authors.initials: C
authors.lastname: Zhang
authors.forename: Liang
authors.initials: L
authors.lastname: Yan
authors.forename: Zhong-Gao
authors.initials: ZG
authors.lastname: Wang
mesh_terms: D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013478:Superior Mesenteric Artery Syndrome / Q000601:surgery*