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  • Title: Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome--how I do it.
    Author: Morris TC, Devitt PG, Thompson SK.
    Journal: J Gastrointest Surg; 2009 Oct; 13(10):1870-3. PubMed ID: 19357930.
    Abstract:
    INTRODUCTION: Superior mesenteric artery (SMA) syndrome is a well-described condition involving mechanical compression of the third part of the duodenum by the SMA and the aorta, resulting in proximal obstruction. DISCUSSION: Although there are a handful of case reports describing various techniques of laparoscopic duodenojejunostomy, a technique that involves creating the anastomosis in the infracolic compartment provides a more dependent stoma for the patient. CONCLUSION: This is a safe, effective, and relatively simple procedure for the experienced minimally invasive surgeon.
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