Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
GET THE APP
A New Laparoscopic Approach For The Treatment Of SMA Syndrome | 3352
Journal of Gastrointestinal & Digestive System
Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.
Superior Mesenteric Artery (SMA) syndrome is a rare condition in which the SMA compresses the third portion of the
duodenum. The following are the first two SMA syndrome cases to be reported in Saudi Arabia. Roux En Y anastomosis or Lateral
Doudenojejunostomy is used to treat this syndrome surgically. Yet, this is the first time to use laparoscopic Omega Loop (Lateral
Doudenojejunostomy) with Braun anastomosis (Jejunojejunostomy) for treating this syndrome.
A 24-year-old woman was presented with 4 years history of vague abdominal pain mainly at the epigastric region, associated
with repeated vomiting. The patient had also lost significant weight during the last six months. SMA syndrome was confirmed using CT
scan and fluoroscopy. The patient was planned for laparoscopic Omega loop with Braun anastomosis as treatment.
A 19-year-old woman was presented with 2 days history of sever recurrent emesis and vague abdominal pain. Six weeks prior
to her presentation, she had been diagnosed with SMA syndrome using CT and fluoroscopy in another hospital, where Laparoscopic
Lateral Doudenojejunostomy was preformed. We performed Braun anastomosis later on in order to connect the two limbs of the Omega
loop that had been created by the previous team.
Both patients were followed up for six months. They gained weight and were doing well.
To our knowledge laparoscopic Omega Loop with Braun anastomosis (double drainage) is the most appropriate surgical
management of SMA syndrome in comparison to Roux En Y anastomosis or Lateral Doudenojejunostomy as our experience showed
Baraa K. Alnabulsi has completed his M.D. degree from King Abdulaziz University, Jeddah, Saudi Arabia. He has been active in the field of research
and publication since his fourth year of medical school. He has presented in several reputable conferences. He also reviewed papers in journals. He
invented a device that improves the dibasic foot circulation. He was recognized by ?Marquis Who's who in the world? for year 2013, for his academic
and athletic achievements.
Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals