Superior Mesenteric Artery Syndrome Four Months Following Sleeve Gastrectomy



Presented by Allison M Barrett at the SAGES 2014 Meeting; Panel – Concurrent Session SS1 MIS/Solid Organ

Allison M Barrett, MD, David J Harrison, BA, Seth I Felder, MD, Edward H Phillips, MD, FACS, Miguel A Burch, MD, FACS; Cedars Sinai Medical Center

Points of interest:
case report–14 sec
CT scan–33 sec
duplex sonography-43 sec
SMA syndrome described–56 sec
incidence–1:23 (Need to provide citation links: http://www.ncbi.n

Keyword(s): 3rd portion of the duodenum, aorta, aortic pulsations, aorto-mesenteric angle, aorto-mesenteric distance, arteriomesenteric duodenal obstruction, bariatric population, bariatric surgery, bilious emesis, BMI, case report, caudal displacement of the duodenojejunal flexure, caution, common enterotomy, compression, confirmed, confirming adequate length, consultation, creation of enterotomies, CT scan, damaging, decreased angle, defect in the anastomosis, diagnosis, diagnostic, dilation of the duodenum, direct surgical attack, discharged home, distal tip of the stapler, distally, division of ligament of Treitz, dramatic improvement in symptoms, duodenal mobilization, duodenal site of anastomosis, duplex sonography, EGD, endoscope, endoscopy, epigastric pain, etiology, extreme weight loss, extremely rare, female, first laparoscopic case reported, follow-up, gastrojejunostomy, general population, identification of colic vessels, immediate relief, incidence, incised, inspect, inspected intraluminally, installation of Methylene blue, intraluminal view, laparoscopic duodenojejunostomy, laparoscopic sleeve gastrectomy, laparoscopy, leak test, left lateral decubitus position, level, limb of jejunum, linear stapler, liquid diet, literature, location, lying prone, management, middle colic vessels, narrowing of the duodenum, nausea, non-specific symptoms, normal caliber, obstruction of the duodenum, orient, outcome, oversewing, peritoneal lining, placement of stay suture, POD 5, post op, postprandial fullness, precipitated by, proximal, proximally, pt did well, rapid weight loss, rare diagnosis, reflection of transverse colon, reinsertion, repeated, Roux-en-Y gastric bypass, running Vicryl suture, S/P, sitting forward, SMA Syndrome, stapling of anastomosis, Strongs procedure, success rate, successful option, surgical options, suspicious, symptoms relieved, two layers, unrelenting nausea, well described, well-described

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