Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome--how I do it

J Gastrointest Surg. 2009 Oct;13(10):1870-3. doi: 10.1007/s11605-009-0883-x. Epub 2009 Apr 9.


Introduction: Superior mesenteric artery (SMA) syndrome is a well-described condition involving mechanical compression of the third part of the duodenum by the SMA and the aorta, resulting in proximal obstruction.

Discussion: Although there are a handful of case reports describing various techniques of laparoscopic duodenojejunostomy, a technique that involves creating the anastomosis in the infracolic compartment provides a more dependent stoma for the patient.

Conclusion: This is a safe, effective, and relatively simple procedure for the experienced minimally invasive surgeon.

MeSH terms

  • Anastomosis, Surgical
  • Duodenum / surgery*
  • Humans
  • Jejunum / surgery*
  • Laparoscopy
  • Superior Mesenteric Artery Syndrome / surgery*
  • Surgical Stapling
  • Treatment Outcome