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  • Title: Wilkie's syndrome.
    Author: Nana AM, Closset J, Muls V, Kouame J, Jeanmart J, van Gossum A, Gelin M, El Nakadi I.
    Journal: Surg Endosc; 2003 Apr; 17(4):659. PubMed ID: 12574933.
    Abstract:
    A superior mesenteric artery syndrome (SMAS) was diagnosed in two young women with, respectively, a 2- and 1-year history of postprandial vomiting and epigastric pain. The patients underwent a laparoscopic duodenojejunal bypass, and resumed a normal diet on the fifth postoperative day. The patients are still symptom-free with patent anastomosis on gastrointestinal radiographic control at 24 and 6 months, respectively, following their operation. Herein we also describe the varying clinical presentation of this rare syndrome, as well as treatment options. We conclude that laparoscopic duodenojejunostomy offers a new therapeutic approach to SMAS. It is reliable and safe; the operating time is acceptable; and diet recovery and hospital stay are both short. However, these preliminary results still need to be confirmed by further observations.
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