Abstract
A 57-year-old woman was admitted to our hospital because of epigastric pain and vomiting. Plain abdominal CT scan revealed remarkable dilation of the stomach and stenosis in the third portion of the duodenum between the aorta and the superior mesenteric artery. The patient was diagnosed with superior mesenteric artery (SMA) syndrome. She had been treated conservatively until the third hospitalization, when her symptoms improved with conservative management, but vomiting recurred soon after she resumed oral feedings. After a trial of intravenous hyperalimentation and a month of being unable to tolerate oral feedings, we performed laparoscopic duodenojejunostomy.
SMA syndrome is a relatively rare entity and is usually managed with conservative therapy. Surgical treatment can be indicated when the patient is refractoy to conservative therapy. Several surgical techniques for this condition have been reported. We chose laparoscopic duodenojejunostomy and gained a favorable outcome. Laparoscopic duodenojejunostomy is a definitive and minimally invasive surgical technique for treating SMA syndrome.
