Abstract
The superior mesenteric artery syndrome or also called Wilkie syndrome is a diagnosis of exclusion which consists of a condition that causes a clinical condition of chronic high intestinal obstruction due to a shortening of the aortomesenteric angle and the aortomesenteric distance. The clinic of this condition is based in postprandial vomits, loss of appetite and it usually accompanies other conditions that cause a severe loss of weight of the patient. The consultant and management is multidisciplinary and it involves multiple medical and surgical specialties. The initial management is basically medical and with nutritional support and is based on a rise in the weight of the patient, although many times it fails and the patient requires surgery. When this happens the ideal technique with the less morbidity and major resolution of symptoms consist in the laparoscopic duodenojejunostomy.
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