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[Dunbar's syndrome and aorto-mesenteric compression. A casual association?]
M Sianesi1, R Dalla Valle, P Del Rio
1Istituto di Clinica Chirurgica Generale e dei Trapianti d'Organo Università di Parma, Via Gramsci 14, 43100 Parma.
Chirurgia Italiana
|October 6, 2001
Summary
Celiac artery compression syndrome and superior mesenteric artery syndrome, though rare, can coexist. Successful surgical treatment, including duodeno-jejunal bypass, was achieved in patients with both conditions.
Area of Science:
- Vascular Surgery
- Gastroenterology
Context:
- Celiac artery compression syndrome (CACS) and superior mesenteric artery syndrome (SMAS) are rare gastrointestinal disorders.
- The pathogenesis of these syndromes remains controversial and their co-occurrence is seldom reported.
Purpose:
- To analyze the clinical presentation, diagnosis, and treatment of CACS and SMAS.
- To investigate the common aspects and implications of the association between CACS and SMAS.
Summary:
- This study reviewed 57 patients with CACS and 27 with SMAS from 1974 to 2000.
- Six patients presented with both CACS and SMAS, successfully treated with duodeno-jejunal bypass and celiac artery decompression.
- The findings emphasize the importance of recognizing the association between these syndromes for effective surgical outcomes.
Impact:
- Highlights the significance of identifying coexisting CACS and SMAS.
- Suggests that unrecognized dual diagnoses may contribute to controversial surgical outcomes.
- Provides insights into the pathogenesis and management of these rare vascular compression syndromes.