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Duodenojejunostomy

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Duodenojejunostomy is the most common procedure used to treat Superior mesenteric artery (SMA) syndrome that involves the creation of an anastomosis between the duodenum and jejunum, bypassing the compression caused by the Abdominal aorta. Symptoms of SMA syndrome include weight loss, nausea, vomiting, or postprandial pain. It can be diagnosed by upper gastrointestinal endoscopy, abdominal X-ray, abdominal and pelvic computed tomography (CT) scan with oral and IV contrast, hypotonic duodenography, ultrasound, contrast angiography. Duodenojejunostomy is performed either by open surgery or laparoscopically.