{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:24:20Z","timestamp":1790727860914,"version":"4.1.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T00:00:00Z","timestamp":1712620800000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Wilkie\u2019s syndrome is an unusual cause of upper intestinal obstruction due to mechanical compression of the superior mesenteric artery (SMA) to the duodenum, with nonspecific symptoms, whose diagnosis is confirmed by angiotomography. Initially, the treatment is conservative to regain weight and restore mesenteric adipose tissue, associated with postural changes of the patient. If this fails, surgical treatment is indicated, being laparoscopic duodenojejunostomy described as the gold standard. Robotics\u2019 assistance is feasible and safe to carry out the procedure. We present the case of a 21-year-old male patient who comes with stabbing abdominal pain and persistent postprandial vomiting that has caused weight loss of 11 kilograms in the last 2\u00a0years without apparent cause, associated with gastroesophageal reflux. During the procedure, we evidenced open diaphragmatic pillars and duodenal compression due to SMA, and robotic-assisted laparoscopic hyatoplasty + Nissen fundoplication + duodenojejunostomy were performed without complications, with excellent post-surgical results.<\/jats:p>","DOI":"10.1093\/jscr\/rjae190","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T21:10:51Z","timestamp":1712697051000},"source":"Crossref","is-referenced-by-count":3,"title":["Robotic management of superior mesenteric artery syndrome"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8040-4379","authenticated-orcid":false,"given":"Santiago A","family":"Mu\u00f1oz-Palomeque","sequence":"first","affiliation":[{"name":"General Surgery Department, Hospital Metropolitano , Quito 170508 , Ecuador"},{"name":"General and Laparoscopic Surgery, Universidad Internacional del Ecuador , Quito 170411 , Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariadna","family":"Tobar-Tinoco","sequence":"additional","affiliation":[{"name":"Universidad UTE, Avenida Mariscal Sucre s\/n y Mariana de Jes\u00fas , Quito 170129 , Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1ximo V","family":"Torres-Guaicha","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hospital Metropolitano , Quito 170508 , Ecuador"},{"name":"Faculty of Medicine, Universidad Central del Ecuador , Quito 170136 , Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00e1bata L","family":"Tinoco-Ortiz","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hospital Metropolitano , Quito 170508 , Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,4,4]]},"reference":[{"key":"2024040921104204900_ref1","first-page":"4607440","article-title":"Superior mesenteric artery syndrome managed with laparoscopic duodenojejunostomy","volume":"2022","author":"Sabry","year":"2022","journal-title":"Minim Invasive Surg"},{"key":"2024040921104204900_ref2","first-page":"22","article-title":"Laparoscopic management for Wilkie\u2019s syndrome","volume":"87","author":"Mart\u00ednez","year":"2019","journal-title":"Cir Cir"},{"key":"2024040921104204900_ref3","doi-asserted-by":"crossref","first-page":"3369","DOI":"10.12998\/wjcc.v11.i15.3369","article-title":"Superior mesenteric artery syndrome: diagnosis and management","volume":"11","author":"Oka","year":"2023","journal-title":"World J Clin Cases"},{"key":"2024040921104204900_ref4","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/0002-9610(84)90339-8","article-title":"Superior mesenteric artery syndrome. 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Description of surgical technique on occasion of the first reported case in the literature","volume":"14","author":"Konstantinidis","year":"2018","journal-title":"Int J Med Robot"},{"key":"2024040921104204900_ref12","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s00423-023-02803-w","article-title":"Surgical therapy of celiac axis and superior mesenteric artery syndrome","volume":"408","author":"Jonas","year":"2023","journal-title":"Langenbecks Arch Surg"},{"key":"2024040921104204900_ref13","volume-title":"Superior Mesenteric Artery Syndrome","author":"Van Horne","year":"2023"},{"key":"2024040921104204900_ref14","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1177\/000313481908500434","article-title":"Robotic surgery for benign and low-grade malignant diseases of the duodenum","volume":"85","author":"Khan","year":"2019","journal-title":"Am J Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/4\/rjae190\/57178424\/rjae190.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/4\/rjae190\/57178424\/rjae190.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T21:10:59Z","timestamp":1712697059000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae190\/7640742"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,1]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae190","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,4]]},"published":{"date-parts":[[2024,4,1]]},"article-number":"rjae190"}}