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Complete laparoscopic duodenojejunostomy for superior mesenteric artery syndrome: Linear stapled closure of the common enterotomy
Author(s) -
Yoneda Akira,
Kanetaka Kengo,
Yamaguchi Shun,
Koga Yoichi,
Isagawa Yuriko,
Maruya Yasuhiro,
Inoue Yusuke,
Torashima Yasuhiro,
Adachi Tomohiko,
Hidaka Masaaki,
Kobayashi Kazuma,
Ito Shinichiro,
Eguchi Susumu
Publication year - 2020
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12773
Subject(s) - enterotomy , medicine , superior mesenteric artery syndrome , surgery , vomiting , laparotomy
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.