Cargando…

Single-Port Laparoscopic Duodenojejunostomy Employing Semi-Kocherization for a Young Female with Superior Mesenteric Artery Syndrome

Single-port laparoscopic duodenojejunostomy employing semi-Kocherization performed for a patient with superior mesenteric artery (SMA) syndrome is presented in this report. A 24-year-old woman missed meals due to work pressure, and her body weight decreased from 42 kg to 27 kg within 6 months. After...

Descripción completa

Detalles Bibliográficos
Autores principales: Umemura, Akira, Nitta, Hiroyuki, Katagiri, Hirokatsu, Kanno, Shoji, Takeda, Daiki, Nagase, Hayato, Amano, Satoshi, Kikuchi, Koji, Yamada, Naoto, Sasaki, Akira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9035956/
https://www.ncbi.nlm.nih.gov/pubmed/35528760
http://dx.doi.org/10.1159/000523664
_version_ 1784693415143800832
author Umemura, Akira
Nitta, Hiroyuki
Katagiri, Hirokatsu
Kanno, Shoji
Takeda, Daiki
Nagase, Hayato
Amano, Satoshi
Kikuchi, Koji
Yamada, Naoto
Sasaki, Akira
author_facet Umemura, Akira
Nitta, Hiroyuki
Katagiri, Hirokatsu
Kanno, Shoji
Takeda, Daiki
Nagase, Hayato
Amano, Satoshi
Kikuchi, Koji
Yamada, Naoto
Sasaki, Akira
author_sort Umemura, Akira
collection PubMed
description Single-port laparoscopic duodenojejunostomy employing semi-Kocherization performed for a patient with superior mesenteric artery (SMA) syndrome is presented in this report. A 24-year-old woman missed meals due to work pressure, and her body weight decreased from 42 kg to 27 kg within 6 months. After this severe weight loss, she suffered from postprandial abdominal pain. An enhanced computed tomography revealed that the aortomesenteric angle was 11° (narrow), and the distance was short at 4.5 mm. Duodenography also revealed dilatation of the proximal duodenum. These findings led to a diagnosis of SMA syndrome, and we performed single-port laparoscopic duodenojejunostomy. We first dissected the fusion between the duodenum and transverse mesocolon, such as Kocherization, enough to mobilize the duodenum; this procedure was termed semi-Kocherization. A gauze was placed in the dissected space for a landmark from the transverse mesocolon side. We confirmed the gauze at the duodenum's lateral side, then opened the transverse mesocolon, and pulled the duodenum out. We performed side-to-side duodenojejunostomy. The postoperative course was unremarkable, and she gained 4 kg within 2 months of discharge. Semi-Kocherization is shown to be an effective technique to increase duodenal mobility for performing anastomosis, and single-port laparoscopic surgery can reduce wounds and increase cosmesis.
format Online
Article
Text
id pubmed-9035956
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher S. Karger AG
record_format MEDLINE/PubMed
spelling pubmed-90359562022-05-06 Single-Port Laparoscopic Duodenojejunostomy Employing Semi-Kocherization for a Young Female with Superior Mesenteric Artery Syndrome Umemura, Akira Nitta, Hiroyuki Katagiri, Hirokatsu Kanno, Shoji Takeda, Daiki Nagase, Hayato Amano, Satoshi Kikuchi, Koji Yamada, Naoto Sasaki, Akira Case Rep Gastroenterol Case and Review Single-port laparoscopic duodenojejunostomy employing semi-Kocherization performed for a patient with superior mesenteric artery (SMA) syndrome is presented in this report. A 24-year-old woman missed meals due to work pressure, and her body weight decreased from 42 kg to 27 kg within 6 months. After this severe weight loss, she suffered from postprandial abdominal pain. An enhanced computed tomography revealed that the aortomesenteric angle was 11° (narrow), and the distance was short at 4.5 mm. Duodenography also revealed dilatation of the proximal duodenum. These findings led to a diagnosis of SMA syndrome, and we performed single-port laparoscopic duodenojejunostomy. We first dissected the fusion between the duodenum and transverse mesocolon, such as Kocherization, enough to mobilize the duodenum; this procedure was termed semi-Kocherization. A gauze was placed in the dissected space for a landmark from the transverse mesocolon side. We confirmed the gauze at the duodenum's lateral side, then opened the transverse mesocolon, and pulled the duodenum out. We performed side-to-side duodenojejunostomy. The postoperative course was unremarkable, and she gained 4 kg within 2 months of discharge. Semi-Kocherization is shown to be an effective technique to increase duodenal mobility for performing anastomosis, and single-port laparoscopic surgery can reduce wounds and increase cosmesis. S. Karger AG 2022-03-28 /pmc/articles/PMC9035956/ /pubmed/35528760 http://dx.doi.org/10.1159/000523664 Text en Copyright © 2022 by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case and Review
Umemura, Akira
Nitta, Hiroyuki
Katagiri, Hirokatsu
Kanno, Shoji
Takeda, Daiki
Nagase, Hayato
Amano, Satoshi
Kikuchi, Koji
Yamada, Naoto
Sasaki, Akira
Single-Port Laparoscopic Duodenojejunostomy Employing Semi-Kocherization for a Young Female with Superior Mesenteric Artery Syndrome
title Single-Port Laparoscopic Duodenojejunostomy Employing Semi-Kocherization for a Young Female with Superior Mesenteric Artery Syndrome
title_full Single-Port Laparoscopic Duodenojejunostomy Employing Semi-Kocherization for a Young Female with Superior Mesenteric Artery Syndrome
title_fullStr Single-Port Laparoscopic Duodenojejunostomy Employing Semi-Kocherization for a Young Female with Superior Mesenteric Artery Syndrome
title_full_unstemmed Single-Port Laparoscopic Duodenojejunostomy Employing Semi-Kocherization for a Young Female with Superior Mesenteric Artery Syndrome
title_short Single-Port Laparoscopic Duodenojejunostomy Employing Semi-Kocherization for a Young Female with Superior Mesenteric Artery Syndrome
title_sort single-port laparoscopic duodenojejunostomy employing semi-kocherization for a young female with superior mesenteric artery syndrome
topic Case and Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9035956/
https://www.ncbi.nlm.nih.gov/pubmed/35528760
http://dx.doi.org/10.1159/000523664
work_keys_str_mv AT umemuraakira singleportlaparoscopicduodenojejunostomyemployingsemikocherizationforayoungfemalewithsuperiormesentericarterysyndrome
AT nittahiroyuki singleportlaparoscopicduodenojejunostomyemployingsemikocherizationforayoungfemalewithsuperiormesentericarterysyndrome
AT katagirihirokatsu singleportlaparoscopicduodenojejunostomyemployingsemikocherizationforayoungfemalewithsuperiormesentericarterysyndrome
AT kannoshoji singleportlaparoscopicduodenojejunostomyemployingsemikocherizationforayoungfemalewithsuperiormesentericarterysyndrome
AT takedadaiki singleportlaparoscopicduodenojejunostomyemployingsemikocherizationforayoungfemalewithsuperiormesentericarterysyndrome
AT nagasehayato singleportlaparoscopicduodenojejunostomyemployingsemikocherizationforayoungfemalewithsuperiormesentericarterysyndrome
AT amanosatoshi singleportlaparoscopicduodenojejunostomyemployingsemikocherizationforayoungfemalewithsuperiormesentericarterysyndrome
AT kikuchikoji singleportlaparoscopicduodenojejunostomyemployingsemikocherizationforayoungfemalewithsuperiormesentericarterysyndrome
AT yamadanaoto singleportlaparoscopicduodenojejunostomyemployingsemikocherizationforayoungfemalewithsuperiormesentericarterysyndrome
AT sasakiakira singleportlaparoscopicduodenojejunostomyemployingsemikocherizationforayoungfemalewithsuperiormesentericarterysyndrome