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Rev Esp Enferm Dig. 2019 Nov 22;112. doi: 10.17235/reed.2019.6431/2019. [Epub ahead of print]

Laparoscopic duodenojejunostomy as a treatment for Wilkie's syndrome. Analysis of a four cases series.

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Cirugía General y del Aparato Digestivo, Hospital Universitario Ramón y Cajal, España.
Cirugía General y Digestivo, Hospital Universitario Ramón y Cajal, España.


We present 4 cases of Wilkie's syndrome (WS) diagnosis in our Hospital between 2014-2019. WS is an infrequent disease, whose diagnosis can be challenging for patients suffering recurrent digestive symptoms. Our patients refered a history of chronic postprandial abdominal pain associated with vomiting, intestinal transit disorders or an uncontrolled weight loss. Abdominopelvic angio-CT was part of the research in all the cases, objectifying a decrease in the angle between Superior Mesenteric Artery (SAM) and Aorta below 25°. In case of chronic or refractory cases, the surgical treatment may be an option. Laparoscopic duodenojejunostomy constitutes the treatment of choice due its low rate of complications and acceptable results.

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