Laparoscopic Duodenojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: Analysis of 91 Patients

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dc.contributor.authorFahri Yetişir
dc.contributor.authorMuhammet Emin Çelik
dc.contributor.authorYunus Emre Taşkın
dc.contributor.authorOguzhan Özdemir
dc.contributor.authorÖmer Kurt
dc.contributor.authorRamazan Tiken
dc.contributor.authorOsman Yüksel
dc.date.accessioned2025-02-25T08:03:10Z
dc.date.available2025-02-25T08:03:10Z
dc.date.issued2025-02-14
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractSuperior mesenteric artery syndrome (SMAS) is a rare condition caused by the compression of the third portion of the duodenum between the aorta and the superior mesenteric artery (SMA). Laparoscopic duodenojejunostomy has emerged as a safe and effective surgical treatment, particularly when conservative measures fail. We analyzed the clinical and surgical outcomes of 91 patients who underwent laparoscopic duodenojejunostomy for SMAS between February 2016 and July 2023. Preoperative clinical characteristics, surgical data, postoperative symptom improvement rates, and weight regain were evaluated. Diagnosis was confirmed through computed tomographic angiography (CTA), demonstrating an aortomesenteric angle < 20 degrees and distance < 10 mm. Conservative treatment was initially applied in all cases prior to surgical intervention. Among the 91 patients, 58.2% were female, and the mean age was 29.2 SD 11 years. All surgeries were completed laparoscopically with no intraoperative complications. After an average follow-up of 42.5 SD 26.7 months, 93.4% of patients showed significant symptom improvement, with a mean postoperative weight gain of 4.5 SD 2.5 kg. Postoperative complications included delayed gastric emptying in 8 patients (resolved conservatively) and low-output chylous fistulas in 4 patients (resolved spontaneously). There was no mortality. Laparoscopic duodenojejunostomy is a safe and effective treatment for SMAS, offering high success rates and minimal complications. While this study highlights the benefits of a multidisciplinary approach and standardized surgical techniques, further prospective studies are needed to optimize management protocols for this rare condition.
dc.identifier.citationYetişir, F., Çelik, M. E., Taşkın, Y. E., Özdemir, O., Kurt, Ö., Tiken, R., & Yüksel, O. (2025). Laparoscopic Duodenojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: Analysis of 91 Patients. Indian Journal of Surgery, 1-8.
dc.identifier.doi10.1007/s12262-025-04299-8
dc.identifier.issn0972-2068
dc.identifier.issn0973-9793
dc.identifier.urihttps://doi.org/10.1007/s12262-025-04299-8
dc.identifier.urihttps://hdl.handle.net/20.500.12604/8533
dc.identifier.wosWOS:001421477200001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.institutionauthorTaşkın, Yunus Emre
dc.institutionauthorid0000-0002-5111-0141
dc.publisherSpringer Science and Business Media LLC
dc.relation.ispartofIndian Journal of Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSuperior mesenteric artery syndrome
dc.subjectWilkie's syndrome
dc.subjectLaparoscopic duodenojejunostomy
dc.subjectAortomesenteric angle
dc.titleLaparoscopic Duodenojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: Analysis of 91 Patients
dc.typejournal-article

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