Laparoscopic Duodeno-Jejunostomy for Superior Mesenteric Artery Syndrome

Kartik Gohil, MD, Maria Altieri, MD, Gerald Gracia, MD, Dana Telem, MD, Aurora Pryor, MD. Stony Brook University Medical Center/State University of New York.

62 year old female presented with history of complicated anti-reflux surgery and substantial weight loss. On initial workup she was identified to have delayed gastric emptying. She remain symptomatic after laparoscopic pyloroplasty which had improved her gastric emptying. On further workup she was diagnosed with superior mesenteric artery syndrome. Other measures of weight gain failed and she was taken to operative room for laparoscopic duodenojejunostomy. Her post-operative course was non-complicated. At 1 month postoperatively she is doing well and has gained 2.7 kg since surgery.

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