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

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dc.contributor.authorYetişir, Fahri
dc.contributor.authorÇelik, Muhammet Emin
dc.contributor.authorTaşkın, Yunus Emre
dc.contributor.authorÖzdemir, Oguzhan
dc.contributor.authorKurt, Ömer
dc.contributor.authorTiken, Ramazan
dc.contributor.authorYüksel, Osman
dc.date.accessioned2025-03-17T06:01:17Z
dc.date.available2025-03-17T06:01:17Z
dc.date.issued2025-01-01
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° 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.identifier10.1007/s12262-025-04299-8
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.issn09722068
dc.identifier.other2-s2.0-85218817775
dc.identifier.scopus2-s2.0-85218817775
dc.identifier.scopusqualityQ4
dc.identifier.urihttps://hdl.handle.net/20.500.12604/8559
dc.identifier.wosWOS:001421477200001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakScopus
dc.indekslendigikaynakWeb of Science
dc.institutionauthorTaşkın, Yunus Emre
dc.institutionauthorid0000-0002-5111-0141
dc.relation.ispartofIndian Journal of Surgery
dc.relation.ispartofseriesIndian Journal of Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAortomesenteric angle
dc.subjectLaparoscopic duodenojejunostomy
dc.subjectSuperior mesenteric artery syndrome
dc.subjectWilkie’s syndrome
dc.titleLaparoscopic Duodenojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: Analysis of 91 Patients
dc.typeJournal

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