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Surgical challenge reveals postoperative stricture in pediatric SMA patients, suggesting revision surgery improves outcomes.
In managing SMA syndrome, initial gastrojejunostomy may lead to anastomotic stricture, necessitating complex revision surgery. Duodenojejunostomy remains the preferred approach due to lower complication rates, highlighting the need for multidisciplinary input and surgeon expertise to optimize outcomes, especially in pediatric cases with atypical anatomy.
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Baig et al. (2026) studied this question.
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