Duodenojejunostomy versus Distal Gastrectomy and Roux-en-Y Gastrojejunostomy in Management of Superior Mesenteric Artery Syndrome: Retrospective Cohort Study.
Emam, H., Hassan, H., Gerges, W., Eltager, M. (2025). Duodenojejunostomy versus Distal Gastrectomy and Roux-en-Y Gastrojejunostomy in Management of Superior Mesenteric Artery Syndrome: Retrospective Cohort Study.. EKB Journal Management System, 18(3), 191-198. doi: 10.21608/asjs.2025.375679.1198
Hossam Abdalhakim Abdullah Emam; Hesham Maged Hassan; Wadie Boshra Gerges; Mohammed Elsayed Eltager. "Duodenojejunostomy versus Distal Gastrectomy and Roux-en-Y Gastrojejunostomy in Management of Superior Mesenteric Artery Syndrome: Retrospective Cohort Study.". EKB Journal Management System, 18, 3, 2025, 191-198. doi: 10.21608/asjs.2025.375679.1198
Emam, H., Hassan, H., Gerges, W., Eltager, M. (2025). 'Duodenojejunostomy versus Distal Gastrectomy and Roux-en-Y Gastrojejunostomy in Management of Superior Mesenteric Artery Syndrome: Retrospective Cohort Study.', EKB Journal Management System, 18(3), pp. 191-198. doi: 10.21608/asjs.2025.375679.1198
Emam, H., Hassan, H., Gerges, W., Eltager, M. Duodenojejunostomy versus Distal Gastrectomy and Roux-en-Y Gastrojejunostomy in Management of Superior Mesenteric Artery Syndrome: Retrospective Cohort Study.. EKB Journal Management System, 2025; 18(3): 191-198. doi: 10.21608/asjs.2025.375679.1198

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, Pages 191-198    PDF (600.35 K)
Document Type: Original Article
DOI: 10.21608/asjs.2025.375679.1198
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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