Evidence map›Paper›PMID 35528760›Full record

ArticleCase reports in gastroenterology

Single-Port Laparoscopic Duodenojejunostomy Employing Semi-Kocherization for a Young Female with Superior Mesenteric Artery Syndrome.

Akira Umemura, Hiroyuki Nitta, Hirokatsu Katagiri, Shoji Kanno, Daiki Takeda, Hayato Nagase, Satoshi Amano, Koji Kikuchi, Naoto Yamada, Akira Sasaki

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Case reports in gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Akira UmemuraDepartment of Surgery, Iwate Medical University, Yahaba, Japan.
Hiroyuki NittaDepartment of Surgery, Iwate Medical University, Yahaba, Japan.
Hirokatsu KatagiriDepartment of Surgery, Iwate Medical University, Yahaba, Japan.
Shoji KannoDepartment of Surgery, Iwate Medical University, Yahaba, Japan.
Daiki TakedaDepartment of Surgery, Iwate Medical University, Yahaba, Japan.
Hayato NagaseDepartment of Surgery, Iwate Medical University, Yahaba, Japan.
Satoshi AmanoDepartment of Surgery, Iwate Medical University, Yahaba, Japan.
Koji KikuchiDepartment of Surgery, Iwate Medical University, Yahaba, Japan.
Naoto YamadaDepartment of Anesthesiology, Iwate Medical University, Yahaba, Japan.
Akira SasakiDepartment of Surgery, Iwate Medical University, Yahaba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Single-port laparoscopic duodenojejunostomy employing semi-Kocherization performed for a patient with superior mesenteric artery (SMA) syndrome is presented in this report. A 24-year-old woman missed meals due to work pressure, and her body weight decreased from 42 kg to 27 kg within 6 months. After this severe weight loss, she suffered from postprandial abdominal pain. An enhanced computed tomography revealed that the aortomesenteric angle was 11° (narrow), and the distance was short at 4.5 mm. Duodenography also revealed dilatation of the proximal duodenum. These findings led to a diagnosis of SMA syndrome, and we performed single-port laparoscopic duodenojejunostomy. We first dissected the fusion between the duodenum and transverse mesocolon, such as Kocherization, enough to mobilize the duodenum; this procedure was termed semi-Kocherization. A gauze was placed in the dissected space for a landmark from the transverse mesocolon side. We confirmed the gauze at the duodenum's lateral side, then opened the transverse mesocolon, and pulled the duodenum out. We performed side-to-side duodenojejunostomy. The postoperative course was unremarkable, and she gained 4 kg within 2 months of discharge. Semi-Kocherization is shown to be an effective technique to increase duodenal mobility for performing anastomosis, and single-port laparoscopic surgery can reduce wounds and increase cosmesis.

Indexed as

Duodeno-jejunostomyKocherizationSingle-incision laparoscopic surgerySuperior mesenteric artery syndrome

Identifiers

PMID35528760
PMCPMC9035956

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