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[Aorto-mesenteric artery compression syndrome].

U A Dietz1, E S Debus, L Heuko-Valiati

  • 1Hospital Universitário Evangélico, Chirurgische Klinik, Faculdade Evangélica de Medicina do Paraná, Brasilien.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|January 2, 2001
PubMed
Summary
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Superior mesenteric artery syndrome, a rare duodenal obstruction, can cause severe weight loss. Successful treatment involves surgical intervention and, in some cases, psychological support for complete recovery.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Background:

  • Describes superior mesenteric artery syndrome (SMAS), a rare gastrointestinal motility disorder.
  • Focuses on vascular compression of the duodenum as the primary etiology.

Observation:

  • Presents two cases of patients experiencing vomiting and significant weight loss.
  • Diagnostic evaluation confirmed superior mesenteric artery syndrome in both patients.

Findings:

  • Surgical interventions, including duodenojejunostomy or Roux-en-y reconstruction, were performed to restore intestinal passage.
  • One patient required intensive psychological treatment due to a pathological mother-child relationship, achieving full recovery.
  • The second patient gained weight post-surgery without psychological intervention.

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Implications:

  • Highlights the importance of considering SMAS in patients with unexplained vomiting and weight loss.
  • Underscores the multifaceted approach to treatment, encompassing surgical and psychological strategies.
  • Reviews anatomical, etiological, and therapeutic aspects of duodenal vascular compression.