Evidence map›Paper›PMID 40576774›Full record

ArticleSurgical endoscopy2025

Long-term outcomes of laparoscopic duodenojejunostomy for superior mesenteric artery syndrome.

Mélissa V Wills, Juan S Barajas-Gamboa, Valentin Mocanu, Andrew Conner, John Brown, Gabriela Restrepo-Rodas, Sol Lee, Salvador Navarrete, Ricard Corcelles, Matthew Allemang and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
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

14 authors.

Mélissa V WillsCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.ORCID http://orcid.org/0000-0003-4414-0446
Juan S Barajas-GamboaDigestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Valentin MocanuCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
Andrew ConnerCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
John BrownCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
Gabriela Restrepo-RodasDigestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Sol LeeDepartment of General Surgery, Seoul Medical Center, Seoul, Republic of Korea.
Salvador NavarreteCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
Ricard CorcellesCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
Matthew AllemangCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
John RodriguezDigestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Andrew StrongCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
Jerry DangCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
Matthew KrohCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA. krohm@ccf.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSuperior mesenteric artery syndrome (SMAS) is caused by partial obstruction of the duodenum between the SMA and the aorta. While laparoscopic duodenojejunostomy (DJ) shows favorable short- and intermediate-term outcomes, characterization of long-term outcomes remains limited. METHODS AND PROCEDURES: An IRB-approved retrospective study was conducted on patients who underwent laparoscopic DJ from January 2007 to January 2023 at our center. SMAS diagnosis was confirmed through clinical presentation and radiographic studies. Data on BMI, symptoms, and nutritional support were collected preoperatively and at last follow-up. A McNemar test was performed to compare preoperative and long-term outcomes.

resultsTwenty-five patients (median age 32.1 years, IQR 23.2-45.3) with a median follow-up of 5.3 years (IQR 3.0-8.5) were identified. BMI increased from median of 19.2 kg/m

conclusionLaparoscopic DJ shows long-term benefits for SMAS, including improved BMI, reduced supplemental feeding dependence, and significant symptom relief, particularly for pain, nausea, and vomiting. However, a significant proportion of patients with concurrent gastrointestinal motility disorders had worse outcomes, required additional surgical interventions, and experienced higher mortality rates, underscoring the importance of both thorough preoperative evaluation and vigilant longitudinal follow-up for this complex patient population.

Indexed as

DuodenostomyDuodenumJejunostomyLaparoscopySuperior Mesenteric Artery SyndromeAdultEnteral NutritionFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultClinical outcomesDysmotility disorderLaparoscopic duodenojejunostomyNutritional supportSuperior mesenteric artery syndrome

Identifiers

PMID40576774
PMCPMC12287211

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.