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      Laparoscopic Treatment of Superior Mesenteric Artery Syndrome

      case-report

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          Abstract

          Background:

          Superior mesenteric artery syndrome is caused by compression of the third portion of the duodenum by the superior mesenteric artery. Many disease states predispose one to this condition.

          Methods:

          We present a case report of a young female patient who presented with gastro-duodenal obstruction from superior mesenteric artery syndrome and subsequently underwent surgical treatment with minimally invasive techniques. Pathophysiology of SMA syndrome is reviewed.

          Results:

          The cause of superior mesenteric artery syndrome is variable but always results in duodenal obstruction. Surgery is one treatment option that is effective and can be performed laparoscopically.

          Conclusion:

          Laparoscopic duodenojejunostomy is an acceptable method of treating superior mesenteric artery syndrome.

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          Most cited references5

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          Superior mesenteric artery syndrome. Diagnostic criteria and therapeutic approaches.

          G. Ballantyne, Richard M Gore, J Hines (1984)
          The hospital records and radiographs of 44 patients diagnosed as having superior mesenteric artery syndrome were reviewed using strict clinical and radiographic criteria. Only six (14.6 percent) of the patients fulfilled these criteria, suggesting over-diagnosis of the disorder. An acute change in clinical status, such as an operation or complication of a medical disease, appeared to precipitate the superior mesenteric artery syndrome in these patients, all of whom had chronic debilitating diseases. In four of the six patients conservative therapy failed, and they required surgical decompression.
          Article 0 comments Cited 40 times – based on 0 reviews     Review now
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            Diagnosis and treatment of superior mesenteric artery syndrome.

            Lars Gustafsson, R Gamklou, P Lukes … (1984)
            Superior mesenteric artery syndrome (SMAS) is a rare clinical condition. Eleven cases of SMAS treated surgically are reported after follow-up periods of 6 months to 6 years. The value of hypotonic duodenography in the diagnosis of the syndrome is emphasized.
            Article 0 comments Cited 29 times – based on 0 reviews     Review now
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              Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction.

              U Baltazar, Valerie Dunn, Ed Schmidt … (2000)
              Superior mesenteric artery (SMA) syndrome is an atypical cause of high intestinal obstruction, most frequently occurring in patients who have had rapid weight loss. Identification of this syndrome can be a diagnostic dilemma and is frequently made by exclusion. The most characteristic symptoms are postprandial epigastric pain, eructation, fullness, and voluminous vomiting. The symptoms are caused by compression of the third portion of the duodenum against the posterior structures by a narrow-angled SMA. When nonsurgical management is not possible or the problem is refractory, surgical intervention is necessary. We report a case of SMA syndrome in a patient without a history of rapid weight loss. The patient complained of early satiety, nausea, and vomiting of partially digested food worsening over 2 years. Diagnostic evaluation revealed compression of the third portion of the duodenum by the SMA with resultant proximal dilatation. The patient successfully had duodenojejunal anastomosis.
              Article 0 comments Cited 26 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): JSLS
                Journal ID (iso-abbrev): JSLS
                Journal ID (hwp): jsls
                Journal ID (pmc): jsls
                Journal ID (publisher-id): JSLS
                Title: JSLS : Journal of the Society of Laparoendoscopic Surgeons
                Publisher: Society of Laparoendoscopic Surgeons (Miami, FL )
                ISSN (Print): 1086-8089
                ISSN (Electronic): 1938-3797
                Publication date (Print): Oct-Dec 2004
                Volume: 8
                Issue: 4
                Pages: 376-379
                Affiliations
                Department of Surgery, NYU School of Medicine, New York, New York, USA.
                Author notes
                Address reprint requests to: T. Peter Kingham, MD, Dept of Surgery, Bellevue Hospital, 27 th St and 1 st Ave, New York, NY 10016, USA.
                Article
                PMC ID: 3016826
                PubMed ID: 15554285
                SO-VID: 6a4be8cf-1d05-44f9-b11e-907bdc3d50d0
                Copyright © © 2004 by JSLS, Journal of the Society of Laparoendoscopic Surgeons.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License ( http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.

                History
                Categories
                Subject: Case Reports

                ScienceOpen disciplines: Surgery
                Keywords: superior mesenteric artery syndrome,laparoscopic duodenojejunostomy
                Data availability:
                ScienceOpen disciplines: Surgery
                Keywords: superior mesenteric artery syndrome, laparoscopic duodenojejunostomy

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