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Abstract
Ten cases of vascular compression of the duodenum are presented, and 125 cases in
the literature since 1962 are reviewed. More common in women than in men, the lesion
may result from supine immobilization, wearing body cast, or a rapid weight loss.
In about one third of the patients, no predisposing factor can be found. Diagnosis
is best made by cinefluoroscopy. Although conservative measures will provide relief
in a few patients, most will require surgery. Section of the suspensory muscle and
relocation of the duodenojejunal junction will relieve the symptoms in many patients.
Duodenojejunostomy will be required in some others. Complete relief can be expected
in all but a very few patients. Those who have developed neurotic eating habits from
years of discomfort may not show immediate improvement. Untreated vascular compression
of the duodenum may be chronic or may become acute with fatal results.
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References
- Vascular compression of the duodenum.Int. Abs. Surg. 1963; 117: 103
- Un cas syndrome de la pince aorticomésentèrique.Internat. Surg. 1968; 50: 181
- Preduodenal portal vein: A significant entity? Report of two cases and review of the literature.Can. J. Surg. 1974; 17: 316
- Vascular obstruction of the duodenum following extraperitoneal ileostomy.Aust. N. Z. J. Surg. 1968; 37: 294
- Congenital duodenal obstruction from anomalous mesenteric vessels.Am. J. Surg. 1935; 30: 499
- The visceral branches of the abdominal aorta; topographical relationships.Am. J. Anat. 1943; 73: 27
- Wilkie's syndrome.Am. J. Surg. 1964; 108: 85
- Surgical anatomy of the superior mesenteric artery.Am. Surg. 1965; 31: 545
- The cast syndrome.N. Engl. J. Med. 1950; 243: 440
- Arteriomesenteric duodenal obstruction.J. Med. Assoc. Ga. 1963; 52: 501
- Observations on the line at which the lower border of the third portion of the duodenum crosses the vertebral column.J. Anat. Physiol. 1903; 38: 435
- Acute arteriomesenteric duodenal ileus as a complication following operative correction of scoliosis.Postgrad. Med. J. 1969; 45: 781
- Wilkie's syndrome.Ann. Surg. 1971; 173: 290
- The suspensory muscle of the duodenum.Am. J. Surg. 1943; 59: 546
- Duodenal ileus with special reference to superior mesenteric artery compression.Radiology. 1966; 86: 305
- Superior mesenteric artery syndrome.Am. J. Dis. Child. 1963; 106: 25
- Superior mesenteric artery syndrome associated with duodenal ulcer. Case report.Bol. Asoc. Med. P. R. 1962; 54: 111
- Superior mesenteric artery syndrome.Acta Paediatr. Acad. Scient. Hungaricae. 1967; 8: 327
- Obstructo do duodeno pela arteria mesenterica superior.Rev. Paulista Med. 1963; 62: 336
- Die diagnostik der arteriomesenterialen duodenalkompression mittels hypotoner duodenographie, mesenteriographie and röntgenkinema-tographie.Schweiz. Med. Wochenschr. 1970; 100: 109
- Vascular compression of the duodenum: Emphasis on accurate diagnosis.Am. J. Surg. 1968; 115: 89
- Operative treatment of the superior mesenteric artery syndrome.Am. Surg. 1961; 27: 681
- Abnormalities of fixation of the ascending colon; the relation of symptoms to anatomical findings.Br. J. Surg. 1923; 10: 532
- Superior mesenteric artery syndrome.J. S. Carolina Med. Assoc. 1964; 60: 179
- Acute superior mesenteric artery syndrome.Radiology. 1970; 94: 299
- Über akute postoperative Magendilatation hervorgerufen durch arterio-mesenteriale Duodenal-kompression.Deutsch. Zschr. Chir. 1900; 56: 486
- Sulla sindrome dell arteria mesenterica superiore.Clin. Pediatr. 1966; 48: 371
- The superior mesenteric artery syndrome.J. Mich. State Med. Soc. 1962; 61: 303
- Superior mesenteric artery.J. A. M. A. 1962; 179: 257
- Duodenal obstruction. Superior mesenteric artery syndrome: A simplified approach.J. Kan. Med. Soc. 1966; 67: 416
- Lehrbuch der pathologischen Anatomie.ed. 1. W. Braumüller, Weien1861
- Peptic ulcer and the superior mesenteric artery syndrome.Alaska Med. 1963; 5: 34
- The superior mesenteric artery syndrome.J. Ky. State Med. Assoc. 1962; 60: 141
- Arteriomesenteriale kompression des Duodenums and ähnliche Krankheitsbilder bei Erwachsenen.Acta Chir. Acad. Scient. Hungaricae. 1968; 9: 309
- Arteriomesenteric duodenal obstruction in the newborn infant.Pediatrics. 1963; 31: 1049
- The cast syndrome.Arch. Surg. 1963; 87: 662
- Acute superior mesenteric artery syndrome in the severely burned patient.Radiology. 1970; 94: 307
- Chronic duodenal ileus.Am. J. Med. Sci. 1927; 173: 643
Article info
Publication history
Accepted:
November 24,
1975
Footnotes
☆Publication No. 1318, Division of Basic Health Sciences, Emory University Atlanta Ga.
Identification
Copyright
© 1976 Published by Elsevier Inc.