Duodenoyeyunostomía laparoscópica en el Síndrome de la Arteria Mesentérica Superior

Introduction: Superior Mesenteric Artery Syndrome is an uncommon cause of duodenal obstruction.  Symptoms may vary from mild obstruction to acute life-threatening emergencies. Physical examination does not always help in establishing the diagnosis which is based on findings from imaging studies. Objective: To recommend the laparoscopic approach for the surgical treatment of this entity. Case presentation: A 49-year old female patient with prior history of weight loss after chemotherapy and a two-year history of postprandial nausea, vomiting, and abdominal pain who was successfully treated by laparoscopic duodenojejunostomy is presented. Discussion: Initial treatment is usually conservative. Recently published studies support that laparoscopic duodenojejunostomy is a safe and effective method of treatment. Conclusions : Surgical treatment is becoming more successful and the majority of patients are symptom-free after surgery.