A Case Series of Laparoscopic Duodenojejunostomy for the Treatment of Pediatric Superior Mesenteric Artery Syndrome
Journal Title: International Journal of Surgery and Research (IJSR) - Year 2016, Vol 0, Issue 2
Abstract
Superior mesenteric artery syndrome (SMAS) is a rare, debilitating clinical condition caused by compression of the third portion of the duodenum by the superior mesenteric artery. Common symptoms include intermittent postprandial abdominal pain, nausea, weight loss, and bilious vomiting. Here we present a case series of three patients with SMAS who were treated with laparoscopic duodenojejunostomy. Patients were females between 12-17 years old. All patients underwent a successful laparoscopic duodenojejunostomy after diagnosis. Mean time to feedings after surgery was 4.00±1.15 days (mean ± SD) and length of stay was 8.6±2.7 days. SMAS remains a complex disease to diagnose and treat. Here we demonstrate that laparoscopic treatment of SMAS is a safe surgical treatment option, and is associated with earlier initiation of enteral feeds and a shorter hospital stay after surgery when compared to medical treatment. This is a safe, effective, and relatively simple procedure for the experienced minimally invasive surgeon [1].
Authors and Affiliations
Ravi S. Radhakrishnan
Keywords
Related Articles
- EP ID EP210922
- DOI 10.19070/2379-156X-SI01001
- Views 123
- Downloads 0
Active Hexose Correlated Compound and T Cell Response in Hind - Limb - Unloaded BALB/c Mice
Introduction: Microgravity - induced immune dysfunction is a potential risk for infection and cancer in astronauts. Active hexose correlated compound (AHCC), a compound obtained from fermented extract of the mycelia of B...
Gallstone Coleus: A Rare Relation of Gallstone Ileus
Background: Intestinal obstruction due to gallstones is a rare condition accounting for 1-4% of cases of a mechanical small bowel obstruction. Gallstone coleus (gallstone obstruction of the large bowel) is an even more u...
Novel Suturing Technique for Fascia Closure after Laparotomy: Spider Suture to Increase the Tearing Force of the Fascia
Purpose: The objective of this study was to demonstrate a new suturing technique in reference to fascia closure after laparotomy in an experimental setup to increase the tearing force of the fascia. Methods: Two ordinar...
Rupture of Splenic Aneurysm: A Rare Case Report
Although, trauma is the most cause of spleen rupture, spontaneous rupture of the splenic aneurism is a rare problem which causes a massive bleeding inside the abdomen, and ultimately reduces blood pressure, shock, and de...
Effects of Smoking on Hand Tendon Repair: Scientific Study & Literature Review
Purpose: The clinical effect of smoking on after tendon repair in smokers vs non-smokers was investigated, via exploring effects on flexor and tendon repair, and incidence of wound complications. Methods: Retrospective r...