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  • Title: Laparoscopic Roux-en-Y duodenojejunal bypass for superior mesenteric artery syndrome: case reports and review of the literature.
    Author: Li J, Chousleb E, Hidalgo J, Patel S, Szomstein S, Rosenthal RJ.
    Journal: Surg Laparosc Endosc Percutan Tech; 2011 Dec; 21(6):e344-7. PubMed ID: 22146189.
    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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