Robot Strong Procedure for Superior Mesenteric Artery (Wilkie) Syndrome.
Vincenzo D'Ambra, Giulia Tamponi, Martin C Boonstra et al.
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Case in brief
A woman with chronic postprandial abdominal pain, nausea, and bloating, unresponsive to conservative treatment, presented with symptoms that resolved when positioned in a left lateral fetal position. Imaging revealed a reduced SMA-aorta distance and signs of duodenal stasis, suggestive of SMA syndrome. She underwent a Robot Strong procedure, which involved full duodenal mobilization. Postoperatively, her symptoms completely resolved, and follow-up imaging showed the duodenum in a more caudal position.
Diagnostic / clinical pearl
Clinicians should consider SMA syndrome in patients with postprandial symptoms that improve with specific positioning, as this may guide appropriate surgical intervention.
Why it matters
The Robot Strong procedure offers a viable surgical option for SMA syndrome, potentially avoiding more invasive bypass procedures while effectively addressing symptoms.