In:
Asian Journal of Endoscopic Surgery, Wiley, Vol. 13, No. 4 ( 2020-10), p. 552-555
Abstract:
Superior mesenteric artery syndrome can lead to duodenal obstruction due to vascular compression. We treated a patient with superior mesenteric artery syndrome by performing a complete laparoscopic duodenojejunostomy with a linear stapled closure of the common enterotomy. A 72‐year‐old woman presented with nausea, vomiting, and weight loss. CT revealed superior mesenteric artery syndrome. Conservative management was not effective. Because the patient required a surgical bypass for long‐term relief, a laparoscopic duodenojejunostomy was performed. In past cases, hand‐sewn sutures were made through a small incision to avoid stenosis when the common enterotomy was closed. For our patient, we closed the common enterotomy with a linear stapler in a complete laparoscopic maneuver. We performed the closure after placing several temporary sutures to minimize the amount of intestinal wall to be removed. Laparoscopic duodenojejunostomy is a minimally invasive procedure, and a linear stapled closure of a common enterotomy is a safe surgical technique that reduces invasiveness.
Type of Medium:
Online Resource
ISSN:
1758-5902
,
1758-5910
Language:
English
Publisher:
Wiley
Publication Date:
2020
detail.hit.zdb_id:
2492135-X
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