Superior Mesenteric Artery Syndrome: A Case Report of Two Su
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Introduction
The surgical management of superior mesenteric artery syndrome in the modern era is reserved for medically refractive cases.

Nasojejunal feeding is usually the first line of therapy and thought to offer a more durable alternative without the attendant surgical morbidity.

When surgery is required, a laparoscopic duodenojejunal anastomosis is now the standard of care. Its success rate over a 5-year follow-up period is over 90 percent.

We present two cases of SMA syndrome with differing surgical approaches both of which have been successful. Strong's procedure in the first case has been followed up for over four years with no attendant morbidity and a complete resolution of symptoms.

In the second case we were unable to perform Strong's procedure due to a previous subtotal colectomy performed on the patient for colitis. She had a duodenojejunostomy. Her follow-up over the past two years has been uneventful.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5215251/
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