Clinical and Radiological Perspectives on Mesenteric Compression: Case Reports and Treatment Approaches

Introduction: A uncommon condition known as superior mesenteric artery syndrome (SMAS) can clog the duodenum. Twelve individuals who had laparoscopic duodenojejunostomy to treat SMAS are examined in this study. Patients & Methods: We are analyzing data of twelve patients (3 males and 9 females) underwent laparoscopic duodenojejunostomy for SMAS, one of them underwent laparoscopic antrectomy with Roux-en-Y gastrojejunostomy from NOV 2020 to FEB 2023, with mean age 23.3 years. Results: Twelve patients (3 males and 9 females) were included with mean age 23.3 years. The most common cause was idiopathic in 58.3%. Abdominal pain (91.66%), nausea and vomiting (83.33%) and weight loss (66.6%) were the most frequent symptoms. The mean preoperative BMI was 16.06±2.3. The mean aortomesenteric angle was 15.8±4.6. All patients underwent laparoscopic duodenojejunostomy except one patient who underwent laparoscopic antrectomy with Roux-en-Y gastrojejunostomy with no conversion to open surgery. Conclusion: Superior mesenteric artery syndrome (SMAS) is a rare entity that need high suspicious for diagnosis especially in females with low BMI with upper gastrointestinal symptoms. Surgical management is the treatment of choice to improve symptoms and quality of life.