Video shows laparoscopic duodenojejunostomy for SMA syndrome. Case: 58-year-old woman with sub-acute onset nausea, vomiting and midepigastric abdominal pain. Significant weight loss after job loss; chronic anxiety disorder. Physical exam: vital signs stable; slim female with soft flat abdomen. EGD: distended stomach and duodenum, no neoplasia, no mucosal abnormality. CT: gastroduodenal obstruction. Postoperative course: negative contrast swallow study POD3, advanced diet, no obstructive symptoms on follow-up. Video by Folahan Ayoola, MD, Mark Salcone, MD, Silas Chikunguwo, MD, James Maher, MD
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