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Research Article: Laparoscopic lateral duodenojejunostomy for pediatric superior mesenteric artery compression syndrome: a cohort retrospective study

Date Published: 2023-12-04

Abstract:
There are only a few case reports of laparoscopic lateral duodenojejunostomy (LLDJ) in children with Wilkie’s syndrome, also known as superior mesenteric artery compression syndrome (SMAS). We aimed to describe our laparoscopic technique and evaluate its outcomes for SMAS in children.

Introduction:
Superior mesenteric artery syndrome (SMAS), an uncommon disorder, compresses the third part of the duodenum and has a mortality rate as high as 33% [1]. Mechanical obstruction resulting from compression of the third section of the duodenum, deriving anterior from the superior mesenteric artery (SMA) and posterior from the aorta and vertebral column, is the widely accepted definition [2]. Since SMAS was first described in 1862 [3], the pathogenesis has been deeply investigated and further understood. Children with…

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