ID 110590
Title Transcription
ジョウチョウカンマク ドウミャクセイ ジュウニシチョウ ヘイソクショウ SMA syndrome ニ タイスル フククウキョウカ ジュウニシチョウ クウチョウ フンゴウジュツ
Title Alternative
Superior mesenteric artery syndrome treated by laparoscopic duodenojejunostomy
Author
Yagi, Tosiyuki Department of Surgery, Tokushima Prefectural Central Hospital
Fujino, Ryozo Department of Surgery, Tokushima Prefectural Central Hospital
Takai, Shigeharu Department of Surgery, Tokushima Prefectural Central Hospital
Miki, Hitoshi Department of Surgery, Tokushima Prefectural Central Hospital
Sumitomo, Masayuki Department of Surgery, Tokushima Prefectural Central Hospital
Matsuyama, Kazuo Department of Surgery, Tokushima Prefectural Central Hospital
Ogata, Yorihiko Department of Surgery, Tokushima Prefectural Central Hospital
Nakagawa, Yasusi Department of Surgery, Tokushima Prefectural Central Hospital
Kanemura, Yoshihumi Department of Surgery, Tokushima Prefectural Central Hospital
Kaneda, Yuji Department of Surgery, Tokushima Prefectural Central Hospital
Terauti, Akiko Sankan Naika Geka Clinic
Keywords
SMA syndrome
duodenojejunostomy
laparoscopic surgery
laparoscopy
duodenum
Content Type
Journal Article
Description
Superior mesenteric artery (SMA) syndrome is a rare disorder, recognized as nausea, vomiting, weight loss, and postprandial abdominal pain due to compression and obstruction of the third portion of the duodenum by the SMA. If conservative treatment fails, then duodenojejunostomy or lysis of the ligament of Treitz is indicated. Recently, laparoscopic techniques have been described. This is the first case report, to our knowledge, of performance of a laparoscopic duodenojejunostomy for treatment of SMA syndrome in Japan. A 17-year-old female with a diagnosis of SMA syndrome was prepared for surgery after having failed conservative management. Laparoscopic duodenojejunostomy was performed through the mesenterium of the transverse colon. Postoperative course was uneventful. A gastografin study obtained on postoperative day 6 demonstrated no leakage of the anastomosis and free flow of contrast medium through the duodenojejunostomy. Laparoscopic duodenojejunostomy is safe and effective and a viable method for treatment of SMA syndrome.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
59
Issue
1-2
Start Page
68
End Page
73
Sort Key
68
Published Date
2003-04-25
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences