New modification of the Albrecht–Staveley operation for treating aorto-mesenteric compression of the duodenum

Abstract

Aorto-mesenteric compression of the duodenum (Wilkie syndrome, upper mesenteric artery syndrome) is one of the causes of chronic duodenal obstruction. This condition is caused by compression of the horizontal branch of the duodenum between the abdominal aorta and the superior mesenteric artery, departing from the aorta at an acute angle. Among the causes of this pathological condition, an asthenic physique, pronounced weight loss in a short period of time, and others are distinguished. Currently, the main component of eliminating aorto-mesenteric compression is surgical intervention. Among other surgical methods, the most optimal is duodeno-jejunostomy according to Albrecht–Staveley. However, when this surgical intervention is associated with a high risk of developing a ‘vicious circle’ syndrome. The developed modification of the Albrecht–Staveley operation aims to minimize the risks of developing the ‘vicious circle’ syndrome.

Keywords

surgery / arterial-mesenteric compression of the duodenum / syndrome of the superior mesenteric artery / Wilkie syndrome / chronic obstruction of the duodenum / anastomosis / Albrecht–Staveley operation / Shalimov stub

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RIGHTS & PERMISSIONS

Sigua B.V., Zemlyanoy V.P., Kachiuri A.S., Fetisov K.V., Zakharov E.A., Melnikov V.A.