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Erschienen in:
01.10.2009 | How I do it
Laparoscopic Duodenojejunostomy for Superior Mesenteric Artery Syndrome—How I Do It
Erschienen in: Journal of Gastrointestinal Surgery | Ausgabe 10/2009
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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.