ROBOTIC-ASSISTED DUODENOJEJUNOSTOMY FOR TREATMENT OF SUPERIOR MESENTERIC ARTERY (SMA) SYNDROME
Sean J. Donohue*, Jack Silva, Iliya Goldberg, Nikolai A. Bildzukewicz
Surgery, University of Southern California, Los Angeles, CA
Introduction: Superior mesenteric artery (SMA) syndrome is a rare cause of small bowel obstruction characterized by compression of the third portion of the duodenum against the aorta by the SMA.
Case: A 28-year-old female with one year history of idiopathic pancreatitis and anxiety presented to our facility with daily nausea, emesis, and inability to tolerate PO intake. CT Scan displayed an aorto-mesenteric angle of 8 degrees. A robot-assisted duodenojejunostomy with EGD was performed.
Conclusion: Traditional refeeding strategies in SMA syndrome can lead to prolonged length of stay.
A minimally-invasive duodenojejunostomy can lead to effective resolution of functional symptoms.
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