Laparoscopic Roux-en-Y Duodenojejunal Bypass for Superior Mesenteric Artery Syndrome

Introduction Superior mesenteric artery syndrome is a clearly defined and uncommon medical condition. Surgical intervention is needed for failed long-term medical management. Material and methods We report a series of 3 cases, a 17-year-old woman, a 23-year-old man, and a 50-year-old woman that were successfully treated by Roux-en-Y duodenojejunal bypass using a laparoscopic approach. Technique A 5-trocar laparoscopic approach was used for the surgery. A 75 cm long Roux limb was used in all cases. Results The postoperative period was unremarkable and symptoms of obstruction subsided in all 3 cases. Conclusions Laparoscopic duodenojejunal bypass seems to be a feasible and safe treatment option for superior mesenteric artery syndrome.