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KMID : 0605920050110020180
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Journal of Korean Association of Pediatric Surgeons
2005 Volume.11 No. 2 p.180 ~ p.185
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Laparoscopic Operation for Superior Mesenteric Artery Syndrome and Follow-up with 3-Dimensional Reconstructive CT: 1 Case Report
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KIm Seong-Min
Kim Sung-Hoon
Kwon In-kyu
Kim Myoung-Joon
Hyung Woo-Jin
Choi Seung-Hoon
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Abstract
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Superior mesenteric artery (SMA) syndrome is a rare disorder caused by extrinsic compression of the third portion of the duodenum by the SMA. The operative treatment of choice is bypassing the obstructed duodenal segment by duodenojejunostomy. We report one case of SMA syndrome treated by laparoscopic duodenojejunostomy and followed up by 3D-reconstructive CT scan. A fifteen-year-old boy with intermittent vomiting and weight loss was admitted. Ultrasonography showed narrowing of the distance between the SMA and aorta. Hypotonic duodenography showed dilatation of duodenal third portion and barium stasis. On 3D-reconstructive CT scan, the angle between SMA and aorta was 37 degrees. The postoperative course was uneventful. Three months later, he had gained 3 kg of weight and the angle between SMA and aorta increased to 38-39 degrees on 3D reconstructive CT scan. Laparoscopic duodenojejunostomy for bypassing the obstructive duodenum in SMA syndrome is a feasible and safe method.
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KEYWORD
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Superior mesenteric artery syndrome, Laparoscopic duodenojejunostomy, 3D reconstructive CT scan
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