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Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome with scoliosis:A case report Masakazu FUJII 1 , Kiyotaka IMAMURA 1 , Shoutarou FURUKAWA 1 , Minoru TAKADA 1 , Yoshiyasu AMBO 1 , Fumitaka NAKAMURA 1 1Department of Surgery, Teine Keijinkai Hospital Keyword: 上腸間膜動脈症候群 , 側彎症 , 腹腔鏡下十二指腸空腸吻合術 pp.286-293
Published Date 2020/7/15
DOI https://doi.org/10.11477/mf.4426200817
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 An 18-year-old man with a history of scoliosis presented with persistent vomiting. Abdominal computed tomography and upper gastrointestinal series confirmed a diagnosis of superior mesenteric artery (SMA) syndrome. Conservative treatment was ineffective; therefore, we performed laparoscopic bypass surgery. A jejunal incision was made 20 cm distal to the ligament of Treitz, and Roux-en-Y reconstruction was performed. We performed two anastomoses using endoscopic linear stapler and closed the entry of stapler intra-abdominally. Solid food was resumed on postoperative day 7, and the patient was discharged without any complications. Laparoscopic duodenojejunostomy is a safe and useful minimally invasive approach to treat SMA syndrome in patients with an abnormal habitus associated with scoliosis.


Copyright © 2020, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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