Das aortomesenteriale Kompressionssyndrom
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Das aortomesenteriale Kompressionssyndrom. / Dietz, U A; Debus, E S; Heuko-Valiati, L; Valiati, W; Friesen, A; Fuchs, K H; Malafaia, O; Thiede, A.
In: CHIRURG, Vol. 71, No. 11, 11.2000, p. 1345-51.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Das aortomesenteriale Kompressionssyndrom
AU - Dietz, U A
AU - Debus, E S
AU - Heuko-Valiati, L
AU - Valiati, W
AU - Friesen, A
AU - Fuchs, K H
AU - Malafaia, O
AU - Thiede, A
PY - 2000/11
Y1 - 2000/11
N2 - INTRODUCTION: The aim of this paper was to describe a rare gastrointestinal motility disorder caused by vascular compression of the duodenum.PATIENTS: The authors present two patients with vomiting and severe weight loss. Diagnostic evaluation revealed superior mesenteric artery syndrome.METHODS: After frustrane treatment with i.v. infusions, surgical intervention with laterolateral duodenojejunostomy or Roux-en-y reconstruction for restoration of the intestinal passage was performed.RESULTS: Following initial recovery, the first patient showed permanent anorexia. Psychosocial evaluation revealed a severe pathological mother-child relationship. Intensive psychological treatment finally achieved definite weight gain and complete recovery in this patient. The second case subsequently gained weight without psychological evaluation.CONCLUSION: 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.
AB - INTRODUCTION: The aim of this paper was to describe a rare gastrointestinal motility disorder caused by vascular compression of the duodenum.PATIENTS: The authors present two patients with vomiting and severe weight loss. Diagnostic evaluation revealed superior mesenteric artery syndrome.METHODS: After frustrane treatment with i.v. infusions, surgical intervention with laterolateral duodenojejunostomy or Roux-en-y reconstruction for restoration of the intestinal passage was performed.RESULTS: Following initial recovery, the first patient showed permanent anorexia. Psychosocial evaluation revealed a severe pathological mother-child relationship. Intensive psychological treatment finally achieved definite weight gain and complete recovery in this patient. The second case subsequently gained weight without psychological evaluation.CONCLUSION: 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.
KW - Adolescent
KW - Anastomosis, Roux-en-Y
KW - Diagnosis, Differential
KW - Duodenum/surgery
KW - Female
KW - Humans
KW - Jejunum/surgery
KW - Male
KW - Superior Mesenteric Artery Syndrome/diagnosis
KW - Suture Techniques
U2 - 10.1007/s001040051224
DO - 10.1007/s001040051224
M3 - SCORING: Zeitschriftenaufsatz
C2 - 11132320
VL - 71
SP - 1345
EP - 1351
JO - CHIRURG
JF - CHIRURG
SN - 0009-4722
IS - 11
ER -