Surgical treatment for Superior Mesenteric Artery (SMA) Syndrome often involves a procedure known as duodenal derotation with duodenal duodenostomy. Dr. Danny Shouhed in Los Angeles is one of the few surgeons in the world performing this surgery robotically and is achieving promising success rates. This surgical intervention is designed to alleviate the duodenal, or intestinal, compression caused by the narrowed angle and tightened space between the superior mesenteric artery and the aorta.
The first component of the procedure involves the derotation of the duodenum. In SMA Syndrome, the duodenum becomes compressed due to the abnormal positioning of the superior mesenteric artery, leading to obstruction of the passage of food. Duodenal derotation aims to untwist and reposition the duodenum, rotating it 180° and relieving the compression caused by the aorta and the superior mesenteric artery. This maneuver allows for a more natural flow of food through the digestive tract.
The second aspect involves making a connection between the third and fourth portions of the duodenum, making it easier for food to pass beyond the compressed region. By bypassing the narrowed area, this surgical modification ensures that the food can move through the digestive system unimpeded, addressing the core issue of duodenal compression or SMA Syndrome.
Dr. Shouhed performs duodenal derotation with duodenal duodenostomy in Los Angeles utilizing a robotic surgical system that provides him with enhanced precision and dexterity. In surgery, the robotic arms mimic the natural movements of the human hand with a high degree of accuracy, allowing for precise maneuvers in tight spaces within the gastrointestinal tract. The system also includes a high-definition 3D vision system, providing Dr. Shouhed with a detailed and magnified view of the surgical site.
This improved visualization helps in better identifying structures and navigating complex anatomical features. The robotic arms are designed to navigate through narrow spaces, making it easier for surgeons to access hard-to-reach areas within the gastrointestinal system. This is especially advantageous in procedures like the duodenal derotation with duodenal duodenostomy where precision is crucial.
Duodenal derotation with duodenal duodenostomy stands as a promising surgical solution for SMA Syndrome, providing relief from duodenal compression, restoring normal anatomy, and improving the overall well-being of affected individuals. If you are suffering from the debilitating symptoms of SMA syndrome, find relief with Danny Shouhed, M.D. in Los Angeles and Santa Monica.
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