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Abstract
Background: Superior mesenteric artery syndrome (SMAS) is rarely diseases, and are often diagnosed intraoperatively, so open surgery is performed. The objective of this article is to report the first case of laparoscopic duodenojejunostomy by linear staplers to treat this disease.
Case report: Patient: Nguyen Thu D. Gender: Male. Age: 51 years old. BA code 400012200112. Date of admission: July 03, 2022. Surgery: July 14, 2022. Hospital discharge: July 21, 2022. The patient had intermittent abdominal pain above the navel for 1 week at home with nausea and vomiting after eating, fatigue, and general weakness. Examination: The patient is awake, the abdomen is soft, the area is distended above the navel. Place a gastric bypass to release more fluid and food. Blood test: RBC 5.35 T/L; HB 162 G/L; WBC 11.94 G/L; PTL 252 G/L; Na+ 131 mmol/L; K+ 2.23 mmol/L. Gastroduodenal Endoscopic dilation, stagnation of old fluid and food, D2 dilated and flexed much. CT: The stomach and duodenum are dilated, the origin of the SMA with the corner artery is nearly 230, the distance between these two arteries is nearly 7 mm at the level of the D3 duodenum. Patient received toatlly laparoscopic duodenojejunostomy by linear staplers. Postoperatively, the patient progressed stably and was discharged on day 7.
Conclusion: The technique of laparoscopic duodenojejunostomy by linear staplers was safe and effective in treatment SMAS.
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| Published | 29-12-2024 | |
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| Issue | No. 80 (2022) | |
| Section | Case report | |
| DOI | 10.38103/jcmhch.80.14 | |
| Keywords | Hội chứng động mạch mạc treo tràng trên, phẫu thuật nội soi nối tá hỗng tràng SMAS, laparoscopic duodenojejunostomy |
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