An experience of single incision laparoscopic duodenojejunostomy for superior mesenteric artery syndrome in a young patient

Si Yuan Yao, Sakae Mikami, Ryuichi Mikami, Yoichiro Tada, Souichi Shiotsu, Atsushi Ikeda, Teppei Murakami, Hirokuni Ikeda, Takenao Harada, Mitsuo Yamamoto

Research output: Contribution to journalArticle

Abstract

Superior mesenteric artery (SMA) syndrome is a mechanical obstruction of the third portion of the duodenum by a narrow aorto-mesenteric angle. The traditional approach to SMA syndrome was open bypass surgery. Nowadays, that conventional approach has been replaced by laparoscopic surgery. However single incision laparoscopic approach for SMA syndrome is extremely rare. A 20-year-old woman with a diagnosis of SMA syndrome was prepared for surgery after failed conservative management. To achieve surgery with a minimal scar, single incision laparoscopic duodenojejunostomy was performed and the postoperative course was uneventful. Herein, we report a patient with SMA syndrome who was treated by single incision laparoscopic duodenojejunostomy. This can be an effective surgical method for treating SMA syndrome especially in young female patients, for cosmetic reason.

Original languageEnglish
Pages (from-to)177-184
Number of pages8
JournalJapanese Journal of Gastroenterological Surgery
Volume49
Issue number3
DOIs
Publication statusPublished - 2016
Externally publishedYes

Keywords

  • Anorexia nervosa
  • Single incision laparoscopic surgery
  • SMA syndrome

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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  • Cite this

    Yao, S. Y., Mikami, S., Mikami, R., Tada, Y., Shiotsu, S., Ikeda, A., Murakami, T., Ikeda, H., Harada, T., & Yamamoto, M. (2016). An experience of single incision laparoscopic duodenojejunostomy for superior mesenteric artery syndrome in a young patient. Japanese Journal of Gastroenterological Surgery, 49(3), 177-184. https://doi.org/10.5833/jjgs.2015.0027