Frequently asked questions

The duodenum is untwisted and relocated out from between the SMA and Aorta thus alleviating the compression. The intestine is secured to the right side of the body and a duodenal duodenostomy is preformed. The third and forth section of the duodenum are resected to repair the compressed area. Why is this surgery the best option? 1) It resolves the intestinal compression which is a major cause of pain in patients 2) Patients retain the majority of their nutritional absorption because the 3rd and 4th portion of the duodenum are not being bypassed like a DJ or GJ surgery 3) Risk of developing SIBO is minimal because the compressed portion no longer exists while it still remains from DJ and GJ surgeries Study from 1974 - 2001: https://doi.org/10.1177/000313480807400712