KUWAIT: Dr Mohammed Al-Suleimi, consultant bariatric surgeon at Al-Sabah Hospital, announced on Wednesday the successful treatment of a rare medical condition, superior mesenteric artery syndrome, which affects only 0.1 percent of the global population. The operation was performed using a surgical endoscope and involved a laparoscopic duodenojejunostomy, a procedure that reroutes the third part of the duodenum.
Dr Al-Suleimi said the surgery was conducted on a 17-year-old patient who had been suffering from chronic regurgitation and an inability to eat or drink. The patient was previously misdiagnosed with a diaphragmatic hernia at another hospital and underwent repair surgery, which failed to resolve his condition. The patient later presented to Al-Sabah Hospital with severe pain, vomiting, and significant underweight, with a body mass index of just 16. Examination revealed a compressed section of the duodenum trapped between the superior mesenteric artery and the aorta, caused by a narrow arterial angle of less than 12 degrees (normal range: 28–60 degrees).
Dr Al-Suleimi confirmed that the patient’s condition is now improving significantly, having gained 7 kilograms in a short period after resuming normal eating and drinking, reflecting the success of the procedure. Before the operation, the patient was unable to even consume liquids. He explained that while gastric bypass surgery is sometimes used in such cases, the optimal treatment is a bypass at the third part of the duodenum—a complex operation due to the duodenum’s deep location near the spine. The procedure required careful dissection to avoid complications.
Superior mesenteric artery syndrome occurs when the artery compresses the duodenum, causing partial or complete obstruction that can lead to nausea, vomiting, bloating, weight loss, and other symptoms. The condition is typically associated with very low body weight and is often linked to psychological factors. Dr Al-Suleimi expressed gratitude to the Ministry of Health and Minister Dr Ahmad Al-Awadi for providing hospitals with advanced medical equipment that enables physicians to deliver high-quality care to patients.