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SMAS vs duodenal malrotation

Digestive Health | Last Active: Jun 17, 2022 | Replies (12)

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@kjaffee

I have had my diagnostic laparoscopy with the following findings. Would anyone possibly have input for me as to my unusual anatomy? How long this fix might last? Prognosis? Second opinion from Mayo Clinic?

"Partial malrotation, without apparent SMA syndrome. No Ladd bands nor para duodenal hernia however, at the LOT there was a mesenteroparietal recess (beneath the SMA vessels) whereby the proximal bowel tended to reside. The bowel was pulled from the recess but wanted to return to this retro SMA recess. We sutured the mesenteric tissue to the preaortic tissue to close off this recess. The LOT was pexyed the preaortic tissue straightening the bowel, as a lead point. EGD with moderate gastritis, likely slipped wrap and a hiatal Ticron stitch erosion noted. Duodenal diverticulum visualized without signs of inflammation, obstruction, or food residual."

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Replies to "I have had my diagnostic laparoscopy with the following findings. Would anyone possibly have input for..."

@kjaffee

The findings are interesting. While Mayo Connect cannot give medical advice as we are simply patients like yourself. It appears that some procedures were done during the laparoscopy to try and stabilize the area. Is this your understanding as well?

Did the doctor offer you any ideas as to how this procedure might help you? Did the doctor give you a better understanding of the future of this disorder?

Given the rare nature of this health issue, please know that it is always your right to get a second opinion. Again, here's the contact information to find out more about getting a second opinion from Mayo Clinic, http://mayocl.in/1mtmR63

Will you post again and let me know how you are doing?