Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 7, 2015; 21(45): 12970-12975
Published online Dec 7, 2015. doi: 10.3748/wjg.v21.i45.12970
Minimally invasive surgery for superior mesenteric artery syndrome: A case report
Si-Yuan Yao, Ryuichi Mikami, Sakae Mikami
Si-Yuan Yao, Ryuichi Mikami, Department of Surgery, Kobe City Medical Center West Hospital, Nagata-ku, Kobe 653-0013, Japan
Sakae Mikami, Department of Gastroenterology, Kobe City Medical Center West Hospital, Nagata-ku, Kobe 653-0013, Japan
Author contributions: Yao SY, Mikami S and Mikami R contributed to the manuscript writing and revision.
Institutional review board statement: The study was reviewed and approved by the Kobe City Medical Center West Hospital Institutional Review Board.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Si-Yuan Yao, MD, Department of Surgery, Kobe City Medical Center West Hospital, 2-4, Ichibancho, Nagata-ku, Kobe 653-0013, Japan. siyuan@kobe-nishishimin-hospi.jp
Telephone: +81-78-5765251 Fax: +81-78-5765358
Received: April 13, 2015
Peer-review started: April 15, 2015
First decision: May 18, 2015
Revised: May 25, 2015
Accepted: August 31, 2015
Article in press: August 31, 2015
Published online: December 7, 2015
Core Tip

Core tip: Traditional open bypass surgery has been replaced by laparoscopic duodenojejunostomy as a curative surgical approach for superior mesenteric artery (SMA) syndrome. However, the single incision laparoscopic approach is rarely performed. Here, we show our experience of single incision laparoscopic duodenojejunostomy in a 20-year-old woman with anorexia nervosa and SMA syndrome. As both diseases are commonly seen in young women with body image concerns, the cosmetic outcome of surgery should be taken into consideration. We believe that this minimally invasive surgery is beneficial for patients with SMA syndrome associated with body image concerns, in terms of both surgical and cosmetic outcomes.