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[Arteriomesenteric duodenal compression].

H Weber, H Gumrich, E Klotz

    Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
    |August 1, 1979
    PubMed
    Summary
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    Arteriomesenteric obstruction of the duodenum, a rare condition caused by vascular compression, can lead to duodenal blockage. Surgical treatment, specifically retrocolic duodenojejunostomy, is effective for this condition.

    Area of Science:

    • Gastroenterology
    • Vascular Surgery
    • Abdominal Surgery

    Background:

    • Arteriomesenteric obstruction of the duodenum is a rare condition characterized by vascular compression blocking the lower duodenum.
    • It presents in both congenital and acquired forms, stemming from a reduced aortomesenteric angle.
    • Symptoms range from acute ileus to chronic, non-specific upper abdominal pain.

    Purpose of the Study:

    • To evaluate the efficacy of surgical intervention for arteriomesenteric obstruction of the duodenum.
    • To highlight the diagnostic and therapeutic approaches for this rare duodenal obstruction.

    Main Methods:

    • Diagnosis involves upper gastrointestinal X-ray series and angiographic determination of the superior mesenteric artery angle.
    • Surgical treatment primarily utilized was retrocolic duodenojejunostomy.

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  • A retrospective analysis of 14 cases treated surgically was conducted.

    • Main Results:

    • Retrocolic duodenojejunostomy demonstrated satisfactory outcomes in managing arteriomesenteric obstruction.
    • Surgical treatment proved valuable in the 14 cases studied.
    • The study confirms the effectiveness of surgical management for this rare duodenal lesion.

    Conclusions:

    • Arteriomesenteric obstruction of the duodenum is a treatable condition with surgical intervention.
    • Retrocolic duodenojejunostomy is an effective surgical solution.
    • Early diagnosis and surgical management are crucial for favorable outcomes.