|
Accession number;03A0408549
|
| Title;Superior mesenteric artery syndrome treated by laparoscopic duodenojejunostomy |
| Author;
YAGI TOSHIYUKI
(Tokushima Prefect. Chu-Ou Hospital)
FUJINO RYOZO
(Tokushima Prefect. Chu-Ou Hospital)
TAKAI SHIGEHARU
(Tokushima Prefect. Chu-Ou Hospital)
SUMITOMO MASAYUKI
(Tokushima Prefect. Chu-Ou Hospital)
MATSUYAMA KAZUO
(Tokushima Prefect. Chu-Ou Hospital)
OGATA YORIHIKO
(Tokushima Prefect. Chu-Ou Hospital)
NAKAGAWA YASUSHI
(Tokushima Prefect. Chu-Ou Hospital)
KUROBE HIROTSUGU
(Tokushima Prefect. Chu-Ou Hospital)
TERAUCHI AKIKO
(Sankannaikageka)
|
Journal Title;Shikoku Acta Medica
|
Journal Code:G0586A
|
ISSN:0037-3699
|
|
VOL.59;NO.1/2;PAGE.68-73(2003)
|
| Figure&Table&Reference;FIG.7, REF.7 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;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 ttreatmentof SMA syndrome. (author abst.) |
|
|
|
Related Articles;
|
