Brandon Andrew, MD, Anita Courcoulas, MD, FACS, Giselle Hamad, MD, FACS, Ramesh Ramanathan, MD, FRCS, Bestoun H Ahmed, MD, FACS, FRCS, FASMBS. University of Pittsburgh Medical Center
Superior mesenteric artery (SMA) syndrome can occur after significant weight loss, such as that experienced by patients who undergo bariatric surgery. We present a 33-year-old pregnant patient who was admitted for bowel obstruction. She was status post Roux-en-Y gastric bypass (RYGB) with loss of almost 100% of her excess body weight. She underwent laparoscopic lysis of adhesions without resolution of her symptoms. Additional radiological imaging was highly suggestive of the diagnosis of SMA syndrome. The diagnosis was confirmed with endoscopy via gastrostomy showing narrowing of the duodenum due to the pulsatile SMA (video included). Then, laparoscopic side to side duodenojejunostomy (video included) was performed with dramatic resolution of her bowel obstruction.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 78966
Program Number: V001
Presentation Session: Bariatric and Metabolic Surgery
Presentation Type: Video