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Papers of the Week

2019 Dec

Rev Esp Enferm Dig



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


Pastor Peinado P, Priego Jiménez P, Ocaña Jiménez J
Rev Esp Enferm Dig. 2019 Dec; 111(12):974-975.
PMID: 31755277.


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.