Laparoscopic Roux-en-Y Duodenojejunal Bypass for Superior Mesenteric Artery Syndrome: Case Reports and Review of the Literature

Introduction: Superior mesenteric artery syndrome is a clearly defined and uncommon medical condition. Surgical intervention is needed for failed long-term medical management. Material and Methods: We report a series of 3 cases, a 17-year-old woman, a 23-year-old man, and a 50-year-old woman that were successfully treated by Roux-en-Y duodenojejunal bypass using a laparoscopic approach. Technique: A 5-trocar laparoscopic approach was used for the surgery. A 75 cm long Roux limb was used in all cases. Results: The postoperative period was unremarkable and symptoms of obstruction subsided in all 3 cases. Conclusions: Laparoscopic duodenojejunal bypass seems to be a feasible and safe treatment option for superior mesenteric artery syndrome.

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