Duodenojejunostomy following failed gastrojejunostomy in superior mesenteric artery syndrome: A case report

Yazdanpanahi, Parsa; Keshtkar, Alireza; Atighi, Farnaz; Foroughi, Mehdi

doi:10.1016/j.ijscr.2024.109380

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2024

2025

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“…Failure of gastrojejunostomy could eventually lead to the need for conversion to a duodenojejunostomy. Although no randomized controlled trials comparing duodenojejunostomy with gastrojejunostomy in SMA syndrome have been published to date, it is generally recommended to reserve gastrojejunostomy for situations in which the duodenum is deemed unsuitable for anastomosis only [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Single Anastomosis Sleeve Jejunal Bypass in Acute Mesenteric Artery Syndrome: A Case Report

Talboom,

Van Dessel

2024

Cureus

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Superior mesenteric artery syndrome is a rare vascular compression syndrome in which the duodenum is compressed between the aorta and the overlying superior mesenteric artery. This condition is often chronic and secondary to cachexia. It can trigger further weight loss due to the subsequent proximal intestinal obstruction, causing a positive feedback loop. We report a case of acute presentation of superior mesenteric artery syndrome, complicated by gastric necrosis and treated surgically using the principles of a novel bariatric procedure.

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Section: Discussionmentioning

confidence: 99%