Duodenojejunostomy Surgery For Wilkie Syndrome

Sample Opinion // GI Surgery // Wilkie Syndrome (Superior Mesenteric Artery Syndrome) // Duodenojejunostomy Surgery

Diagnosis – As per the shared medical reports, the patient has Wilkie syndrome. Wilkie’s syndrome, also known as Superior Mesenteric Artery (SMA) syndrome, is a rare gastrointestinal condition where the duodenum (the first section of the small intestine) is compressed between the aorta and the superior mesenteric artery. This compression leads to an obstruction, causing symptoms like abdominal pain, bloating, nausea, and vomiting after eating.

We will need to do some investigations upon her arrival to confirm the diagnosis.

Evaluations Needed- Patient will need to undergo detailed physical and clinical investigations, which include- Abdomen Ultrasound, Endoscopy, possibly a CT Abdomen, routine blood tests, and other related investigations to confirm the diagnosis and the treatment plan.

Treatment Plan – Final treatment plan will be decided after investigation outcomes only. In all possibilities, the patient may require Duodenojejunostomy Surgery.

Duodenojejunostomy is a surgical procedure to treat superior mesenteric artery (SMA) syndrome by rerouting the small intestine. In the surgery, a connection is made between the duodenum (the first part of the small intestine) and the jejunum (the middle part of the small intestine) to bypass the compressed, obstructed portion of the duodenum. This procedure, often performed laparoscopically, successfully relieves symptoms like nausea, vomiting, and pain in many patients when conservative management has failed.  

Kindly note: The advised treatment plan is solely based on the reports shared with us; the final line of treatment will be decided post clinical and physical evaluations of the patient on arrival only.

We would recommend the following hospitals with top doctors as below: 

1. BLK-Max Super Specialty Hospital // Dr. Deep Goel

Kindly have the virtual tour of the hospital via the link – https://pin.it/1Ji84QapI

2. Sarvodaya Healthcare // Dr. Naveen Sanchety

Kindly have the virtual tour of the hospital via the link – https://pin.it/57aR7umFf

3. Amrita Hospital // Dr. Abhishek Aggarwal

Kindly find the hospital view via the link – https://pin.it/6VWWsyyzq

4. Sharda University Hospital // Dr. Jagdish Chandra

Kindly have the virtual tour of the hospital via the link – https://pin.it/14ymRrOFI

5. Yashoda Medicity Hospital // Dr. Seema Singh

Kindly find the hospital gallery via the link – https://pin.it/KHkb70nNX

Estimated Cost-

Estimated cost of Initial Evaluations will be approx. USD 500-800 on OPD basis.

Estimated cost of Duodenojejunostomy surgery at various hospitals will be approx.:
 

• All these hospitals have the facility to use a robot in the surgery. In case the patient chooses Robotic Surgery, the additional cost will be $1000.

Kindly Note:  The given cost is a tentative cost based on the shared information. If the result of the investigation will shed the new picture, the cost may change.

 Stay in India- Patient may need to be in India 2-3 days for evaluations. Patient may need 1-3 days of hospitalization for the surgery. Post-treatment, she may need 10-15 days for follow-up on an OPD basis. Total length of stay in India will be approx. 3-4 weeks.  

Inclusions:

1.      The cost of all investigations related to the Surgery.
2.      The cost of the Surgery.
3.      The doctor’s fee and Hospital charges.
4.      The stay of the patient and 1 attendant during hospital admission.
5.      All meals for the patient and the attendant as per the available menu while in hospital.
6.      Medical Consumables and Medicines while in hospital.
7.      The fee for dieticians and nursing while in hospital.
8.      It also includes complimentary Airport Transfers, Forex Services and assistance.

Exclusions:

1.    Any consultation other than in discussion

2.    Extended stay.

3.    Treatment for any other illness.

On Arrival: 
Patient and attendants will be received at the airport by our Representative. Apart from the medical and nursing team, one Case Manager will take care of all the needs. We shall also assist them with reasonably charged accommodation near the hospital.  Patient and attendant may arrange 30-35 USD per day toward accommodation at Guest House.  

VISA Service: 

Kindly share the passport details of the patient and attendant with us. On the basis of passport details, our International Patient Services team will help you in arranging a visa by writing a letter to the Indian High Commission/Embassy in your country. This helps to obtain a medical visa not only for the patient but also for the accompanying attendant. This is a complimentary service from our side.
 
Hope I have been able to give you a satisfactory answer to the query. Do kindly ask for any clarifications needed. I will be happy to answer & shall look forward to assisting the patient in India.

Regards,

Baishakhi.