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Background <p>Superior mesenteric artery syndrome (SMAS) is a challenging condition that requires a high index of suspicion to be accurately diagnosed and managed promptly without affecting patients’ quality of life (QoL).</p> Aim <p>We aimed to assess the QoL of patients diagnosed with SMAS who had Laparoscopic duodenojejunostomy (LDJ) performed at Al-Basheer Governmental Hospital in Jordan.</p> Methods <p>This study is a retrospective case series of all patients diagnosed with SMAS who underwent LDJ between January 2022 and May 2024.</p> Results <p>Twenty patients with persistent symptoms were included. Their clinical presentation, radiological, and surgical data were analysed. We used the Short-Form Health Survey (SF-36) to obtain a measure to evaluate patients' physical and mental health after 12&#xa0;months of follow-up. A simple linear regression model was used to investigate the predicted association between age, BMI, Aortomesenteric Angle, and Distance and the improvement in QoL. The mean age of our patients was 24 ± 6&#xa0;years while the average weight at presentation was 45 ± 3&#xa0;kg. The aortomesenteric angle averaged around 10 ± 3 degrees at presentation, and the aortomesenteric distance was at an average of 5 ± 1&#xa0;mm. The pre-operative QoL scores averaged 41 ± 5 for females, and 43 ± 5 for males. Post-operatively the average BMI improved to 19.6 ± 0.5&#xa0;kg/m<sup>2</sup>. Using the linear regression analysis a statistically significant relation was found between BMI and the improved QoL (p = 0.043).</p> Conclusion <p>We demonstrated how such a rare condition can greatly affect patients’ QoL and emphasised the importance of comprehensive nutritional management as part of the therapeutic strategy for SMAS. We plan to implement a distinctive framework for the continuous stream of patients to further study and understand the features of SMAS and its effects on patients’ QoL.</p> Graphical abstract <p></p>

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Surgical and quality of life outcomes in patients with superior mesenteric artery syndrome following laparoscopic duodenojejunostomy

  • 期刊论文

  • 发表日期：

    2025年4月10日

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  • Ghandi Alamayreh,
  • Mahmoud AbuAwad,
  • Abdullah Daasan,
  • Rand Tayyem,
  • Liyan Hamdan,
  • Rashid Nassar,
  • Ibrahim T. Abuawwad,
  • Mohammad J. J. Taha,
  • Mohammad T. Abuawwad

摘要

Background

Superior mesenteric artery syndrome (SMAS) is a challenging condition that requires a high index of suspicion to be accurately diagnosed and managed promptly without affecting patients’ quality of life (QoL).

Aim

We aimed to assess the QoL of patients diagnosed with SMAS who had Laparoscopic duodenojejunostomy (LDJ) performed at Al-Basheer Governmental Hospital in Jordan.

Methods

This study is a retrospective case series of all patients diagnosed with SMAS who underwent LDJ between January 2022 and May 2024.

Results

Twenty patients with persistent symptoms were included. Their clinical presentation, radiological, and surgical data were analysed. We used the Short-Form Health Survey (SF-36) to obtain a measure to evaluate patients' physical and mental health after 12 months of follow-up. A simple linear regression model was used to investigate the predicted association between age, BMI, Aortomesenteric Angle, and Distance and the improvement in QoL. The mean age of our patients was 24 ± 6 years while the average weight at presentation was 45 ± 3 kg. The aortomesenteric angle averaged around 10 ± 3 degrees at presentation, and the aortomesenteric distance was at an average of 5 ± 1 mm. The pre-operative QoL scores averaged 41 ± 5 for females, and 43 ± 5 for males. Post-operatively the average BMI improved to 19.6 ± 0.5 kg/m2. Using the linear regression analysis a statistically significant relation was found between BMI and the improved QoL (p = 0.043).

Conclusion

We demonstrated how such a rare condition can greatly affect patients’ QoL and emphasised the importance of comprehensive nutritional management as part of the therapeutic strategy for SMAS. We plan to implement a distinctive framework for the continuous stream of patients to further study and understand the features of SMAS and its effects on patients’ QoL.

Graphical abstract