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- Title
Complete laparoscopic duodenojejunostomy for superior mesenteric artery syndrome: Linear stapled closure of the common enterotomy.
- Authors
Yoneda, Akira; Kanetaka, Kengo; Yamaguchi, Shun; Koga, Yoichi; Isagawa, Yuriko; Maruya, Yasuhiro; Inoue, Yusuke; Torashima, Yasuhiro; Adachi, Tomohiko; Hidaka, Masaaki; Kobayashi, Kazuma; Ito, Shinichiro; Eguchi, Susumu
- Abstract
Superior mesenteric artery syndrome can lead to duodenal obstruction due to vascular compression. We treated a patient with superior mesenteric artery syndrome by performing a complete laparoscopic duodenojejunostomy with a linear stapled closure of the common enterotomy. A 72‐year‐old woman presented with nausea, vomiting, and weight loss. CT revealed superior mesenteric artery syndrome. Conservative management was not effective. Because the patient required a surgical bypass for long‐term relief, a laparoscopic duodenojejunostomy was performed. In past cases, hand‐sewn sutures were made through a small incision to avoid stenosis when the common enterotomy was closed. For our patient, we closed the common enterotomy with a linear stapler in a complete laparoscopic maneuver. We performed the closure after placing several temporary sutures to minimize the amount of intestinal wall to be removed. Laparoscopic duodenojejunostomy is a minimally invasive procedure, and a linear stapled closure of a common enterotomy is a safe surgical technique that reduces invasiveness.
- Subjects
SUPERIOR mesenteric artery syndrome; MINIMALLY invasive procedures; DUODENAL obstructions; OPERATIVE surgery
- Publication
Asian Journal of Endoscopic Surgery, 2020, Vol 13, Issue 4, p552
- ISSN
1758-5902
- Publication type
Article
- DOI
10.1111/ases.12773