This is the Alvear-Fowlkes Procedure modifications since July 2024. Step 1 - A small Right Upper Quadrant incision ( 3 inches ) is made. Step 2 - Mobilize the Right Colon and terminal ileum so that both the small intestines can be delivered outside the abdomen. Step 3 - the Duodenojejunal junction becomes visible and release sharply or use of the Harmonic Scalpel. Avoid injury to the pancreas and perforating vessels. Step 3 - Complete dividing the Ligament of Treitz so that the Duodenojejunal ju
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This is the Alvear-Fowlkes Procedure modifications since Jul…
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The Alvear Procedure for SMA Compression Syndrome (SMACS) is Duodenal and Intestinal Derotation with Physiologic Duodenojejunostomy not a bypass with appendectomy and fixation of the DJJ and Cecum. It has an over 40 year follow up of excellent outcome. | Domingo Alvear
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The Alvear Procedure for SMA Compression Syndrome (SMACS) …
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