Laparoscopic Roux-en-Y Duodenojejunal Bypass for Superior Mesenteric Artery Syndrome: Case Reports and Review of the Literature

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Abstract

Introduction:

Superior mesenteric artery syndrome is a clearly defined and uncommon medical condition. Surgical intervention is needed for failed long-term medical management.

Material and Methods:

We report a series of 3 cases, a 17-year-old woman, a 23-year-old man, and a 50-year-old woman that were successfully treated by Roux-en-Y duodenojejunal bypass using a laparoscopic approach.

Technique:

A 5-trocar laparoscopic approach was used for the surgery. A 75 cm long Roux limb was used in all cases.

Results:

The postoperative period was unremarkable and symptoms of obstruction subsided in all 3 cases.

Conclusions:

Laparoscopic duodenojejunal bypass seems to be a feasible and safe treatment option for superior mesenteric artery syndrome.

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