Das aortomesenteriale Kompressionssyndrom

Dietz, Ulrich; Debus, Eike Sebastian; Heuko-Valiati, L.; Valiati, W.; A, Friesen; Fuchs, Karl–Hermann; Malafaia, Osvaldo; Thiede, A

doi:10.1007/s001040051224

Cited by 30 publications

(34 citation statements)

References 13 publications

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“…The complex of clinical signs reflecting duodenal obstruction includes postprandial epigastric pain, nausea, vomiting, anorexia and weight loss and has been termed aortomesenteric artery compression [1], arteriomesenteric duodenal compression [2], duodenal vascular compression [3], superior mesenteric artery [4,5,6], Wilkie’s [7, 8] or cast syndrome [9]. In contrast, megaduodenum characterizes a dilatation of the duodenum without primary or secondary duodenal stenosis which has been ascribed to intestinal myopathy and which can be familial [10,11,12].…”

Section: Introductionmentioning

confidence: 99%

Recalling Superior Mesenteric Artery Syndrome

Welsch

Büchler²,

Kienle³

2007

Dig Surg

336

474

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Background: Superior mesenteric artery syndrome is uncommon and characterized by postprandial epigastric pain, nausea, vomiting, anorexia and weight loss. The syndrome is caused by compression of the third part of the duodenum in the angle between the aorta and the superior mesenteric artery. This review updates etiology, epidemiology, diagnosis, treatment and outcome of the superior mesenteric artery syndrome. Methods: Review of the literature. Results: Frequently, predisposing medical conditions associated with catabolic states or rapid weight loss result in a decrease of the aortomesenteric angle and subsequent duodenal obstruction. External cast compression, anatomic variants and surgical alteration of the anatomy following spine surgery or ileoanal pouch anastomosis can also precipitate the syndrome. Once radiologic studies have established diagnosis, first-line treatment is usually conservative with jejunal or parenteral nutrition for restoration of the aortomesenteric fatty tissue. If conservative management fails, surgical options include open or laparoscopic duodenojejunostomy or duodenal mobilization and division of the ligament of Treitz. Conclusion: Superior mesenteric artery syndrome is clearly defined and frequently associated with a wide range of predisposing conditions and surgical procedures; clinicians have to consider this syndrome in such a setting. Larger studies are needed to better define the optimal treatment for this disease.

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Section: Introductionmentioning

confidence: 99%

Recalling Superior Mesenteric Artery Syndrome

Welsch

Büchler²,

Kienle³

2007

Dig Surg

336

474

View full text Add to dashboard Cite

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“…Mide ve proksimal duodenal dilatasyon tanıyı destekler niteliktedir. Yine oral kontrastla çekilen mide-duodenum grafilerinde de opak maddenin mide ve proksimal duodenumda birikimi diğer obstrüktif hastalıklarda olabileceği gibi destekleyici bulgulardandır (22). Obstrüksiyon bulgularının lateral dekübit ve prone pozisyonunda düzelmesi ise SMA tanısını destekler niteliktedir (9).…”

Section: Tanıunclassified

“…Gastrik ve duodenal dilatasyonu olan olguya nazogastrik tüp ile dekompresyon uygulanmalıdır (22). Ancak buradan kaybedilen sıvı miktarına da dikkat edilmesi gerekmektedir.…”

Section: Tedaviunclassified

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Superior Mesenteric Artery Syndrome at Pediatric Intensive Care Unit

Yaşar¹,

Kılınç²,

Karapınar³

2017

jpr

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“…Этим термином обозначается компрессия двенад-ISSN 2225-9074 54 оБзоры лИТераТуры цатиперстной кишки верхней брыжеечной артери-ей, клинически проявляющаяся послеобеденной болью в эпигастральной области, тошнотой, рво-той, анорексией и потерей веса. Известны несколь-ко названий этого синдрома: 1) синдром аортомезентериальной артериальной компрессии [2]; 2) синдром артериомезентериальной дуоденаль-ной компрессии [3]; 3) синдром дуоденальной сосудистой компрес-сии [4]; 4) синдром верхней брыжеечной артерии [5]; 5) cиндром компрессии верхней брыжеечной арте-рией [6]; 6) Wilkie's syndrome [7]; 7) Cast syndrome [8].…”

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Arteryovenous conflicts in men with urological pathology

Kapto

Александрович²

2018

Urolog vedom

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For the present study, we analyzed previously known and current data on arteriovenous conflicts in men from the perspective of urologists and andrologists. The least studied and controversial decision-making position was for iliac venous compression and pelvic varicose veins in men. The data testify to the need to revise the traditional and generally accepted positions for managing varicocele. (For citation: Kapto AA. Arteryovenous conflicts in men with urological pathology. Urologicheskie vedomosti. 2018;8(2):53-63. doi: 10.17816/uroved8253-63).

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Das aortomesenteriale Kompressionssyndrom

Abstract: The authors review the literature, pointing out the anatomy of the duodenojejunal angle, the etiology, and the predisposing factors, as well as diagnostic and therapeutic strategies.

Cited by 30 publications

References 13 publications

Recalling Superior Mesenteric Artery Syndrome

Recalling Superior Mesenteric Artery Syndrome

Superior Mesenteric Artery Syndrome at Pediatric Intensive Care Unit

Arteryovenous conflicts in men with urological pathology

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