Superior mesenteric artery syndrome Latest Topicshttps://pediatricsurgeryclub.com/forum/204-superior-mesenteric-artery-syndrome/Superior mesenteric artery syndrome Latest Topicsen23/6/2024https://pediatricsurgeryclub.com/topic/3176-2362024/[size=20px]A 15-year-old girl recently lost more than 15% of her body weight due to nausea and emesis associated with symptomatic cholelithiasis which was treated with laparoscopic cholecystectomy. Postoperatively her nausea and emesis persisted and an UGI showed evidence of SMA syndrome with failure of contrast to progress beyond the third portion of the duodenum due to extrinsic compression and a dilated proximal duodenum. She has gained her weight back with non-operative management but continues to have persistent nausea and vomiting. A repeat UGI shows continued delay of contrast across the midline. What is the least invasive appropriate surgical management for this patient?

 

A Ligament of Treitz release

 

B Duodenojejunostomy

 

C Gastrojejunostomy

 

D Ligament of Treitz release with duodenal derotation (Strong Procedure)

 

E Roux-en-Y duodenojejunostomy[/size]

]]>3176Sun, 23 Jun 2024 12:11:59 +0000Superior Mesenteric Artery Syndromehttps://pediatricsurgeryclub.com/topic/2979-superior-mesenteric-artery-syndrome/Download Lecture from second post

 

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]]>2979Mon, 18 Sep 2023 08:11:21 +0000Laparoscopic duodenojejunostomy for superior mesenteric artery syndromehttps://pediatricsurgeryclub.com/topic/2793-laparoscopic-duodenojejunostomy-for-superior-mesenteric-artery-syndrome/See video link in second post

 

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]]>2793Sat, 22 Oct 2022 12:27:52 +0000Laparoscopic Duodeno-jejunostomy for SMAhttps://pediatricsurgeryclub.com/topic/2296-laparoscopic-duodeno-jejunostomy-for-sma/see video link in second post

 

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