Robotic duodenojejunostomy for superior mesenteric artery syndrome in a teenager |
| |
Authors: | Andreana Bütter Shiva Jayaraman Christopher Schlachta |
| |
Institution: | (1) Division of Pediatric Surgery, Children’s Hospital of Western Ontario, 800 Commissioner’s Rd East, Suite E6-208, London, ON, N6A 4G5, Canada;(2) Division of General Surgery, London Health Sciences Centre, The University of Western Ontario, London, ON, Canada |
| |
Abstract: | Superior mesenteric artery syndrome (SMAS) involves vascular compression of the third part of the duodenum, eventually leading
to gastrointestinal obstruction. Duodenojejunostomy is indicated after failure of conservative management and in chronic cases.
We report a case of a cachetic 16-year-old girl with dyskeratosis congenita who suffered from SMA syndrome for 18 months.
Upper endoscopy and preoperative imaging (upper GI series and abdominal CT scan) confirmed the diagnosis. A da Vinci-assisted
duodenojejunostomy was performed after obtaining informed consent from the patient and her parents. Intraoperatively, a dilated
duodenum to the level of D3 was noted. A side-to-side two-layer handsewn anatomosis was performed. The patient was discharged
home on postoperative day #3. She gained 1.4 kg within 1 month. Twenty-one months later, she remains asymptomatic with a total
weight gain of 3.2 kg. To our knowledge, this is the first reported case of a robot-assisted duodenojejunostomy for SMAS. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|