Abstract | BACKGROUND AND OBJECTIVES: METHODS: This is a case series of 3 patients who presented with the persistent postprandial symptoms of pain and nausea after gastric bypass, and through an extensive workup were eventually diagnosed with superior mesenteric artery syndrome. All 3 patients had dramatic weight loss after laparoscopic Roux-en-y gastric bypasses. Gastric remnant distention was not a consistent finding, but persistent postprandial nausea, epigastric pain, and computed tomographic findings of a narrowed angle between the superior mesenteric artery and the aorta were consistently found. Two patients were treated with a laparoscopic gastroduodenal jejunostomy anastomosis, and one patient had a duodenojejunostomy, all with resolution of their symptoms. RESULTS: CONCLUSIONS:
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Authors | Benjamin Clapp, Bruce Applebaum |
Journal | JSLS : Journal of the Society of Laparoendoscopic Surgeons
(JSLS)
2010 Jan-Mar
Vol. 14
Issue 1
Pg. 143-6
ISSN: 1086-8089 [Print] United States |
PMID | 20412638
(Publication Type: Case Reports, Journal Article)
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Topics |
- Abdominal Pain
(etiology)
- Adult
- Female
- Gastric Bypass
- Humans
- Postoperative Complications
(physiopathology)
- Superior Mesenteric Artery Syndrome
(diagnosis, etiology, physiopathology, surgery)
- Tomography, X-Ray Computed
- Weight Loss
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