Duodenojejunostomy versus Distal Gastrectomy and Roux-en-Y Gastrojejunostomy in Management of Superior Mesenteric Artery Syndrome: Retrospective Cohort Study. | ||||
Ain Shams Journal of Surgery | ||||
Volume 18, Issue 3, July 2025, Page 191-198 PDF (600.35 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/asjs.2025.375679.1198 | ||||
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Authors | ||||
Hossam Abdalhakim Abdullah Emam* 1; Hesham Maged Hassan2; Wadie Boshra Gerges1; Mohammed Elsayed Eltager3 | ||||
1Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
2Upper Git unite, General Surgery Department, Ain Shams University Hospitals, Cairo, Egypt | ||||
3Bariateric Surgery Unit, General Surgery Department, Ain Shams University Hospitals, Cairo, Egypt | ||||
Abstract | ||||
Introduction: Superior mesenteric artery (SMA) syndrome is a rare gastrointestinal disorder characterized by compression of the third part of the duodenum between the abdominal aorta and SMA. Aim of work: To compare outcomes of duodenojejunostomy (Open/laparoscopic) versus distal gastrectomy with Roux-en-Y gastrojejunostomy (Open/laparoscopic) in managing SMA syndrome, focusing on symptoms relief and surgical complications. Patients and methods: A retrospective cohort study with data analysis from 22 SMA syndrome patients admitted to Ain Shams University Hospital’s Upper GIT Unit from January 2021 to December 2024. Results: This study compared postoperative outcomes between duodenojejunostomy (Group A) and distal gastrectomy with Roux-en-Y gastrojejunostomy (Group B). Duodenojejunostomy resulted in shorter surgery durations and hospital stays. Although reintervention rates were similar, vomiting and readmission rates were higher in Group A. Group B demonstrated favorable long-term outcomes, with lower complication rates and reduced readmissions. Conclusion: Both surgical approaches effectively managed SMA syndrome symptoms. Duodenojejunostomy offered shorter surgery and hospitalization times, while distal gastrectomy with Roux-en-Y gastrojejunostomy reduced postoperative vomiting and complications, suggesting potential long-term benefits. | ||||
Keywords | ||||
Duodenojejunostomy; distal gastrectomy; Roux-en-Y gastrojejunostomy; superior mesenteric | ||||
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