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[PMID]:27772689
[Au] Autor:Ha YR; Park SY
[Ad] Endereço:Department of Emergency Medicine, Bundang Jesaeng General Hospital, Gyeonggi-do, Korea.
[Ti] Título:Young Man With Epigastric Pain.
[So] Source:Ann Emerg Med;68(5):e83-e84, 2016 Nov.
[Is] ISSN:1097-6760
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Dor Abdominal/etiologia
Dispepsia/etiologia
Síndrome da Artéria Mesentérica Superior/complicações
Síndrome da Artéria Mesentérica Superior/diagnóstico por imagem
[Mh] Termos MeSH secundário: Dor Abdominal/diagnóstico por imagem
Adulto
Dispepsia/diagnóstico por imagem
Seres Humanos
Masculino
Síndrome da Artéria Mesentérica Superior/cirurgia
Tomografia Computadorizada por Raios X
Ultrassonografia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:28660836
[Au] Autor:Kirby GC; Faulconer ER; Robinson SJ; Perry A; Downing R
[Ad] Endereço:Department of Upper Gastrointestinal Surgery, Worcestershire Acute Hospitals NHS Trust , Worcester , UK.
[Ti] Título:Superior mesenteric artery syndrome: a single centre experience of laparoscopic duodenojejunostomy as the operation of choice.
[So] Source:Ann R Coll Surg Engl;99(6):472-475, 2017 Jul.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION The superior mesenteric artery (SMA) syndrome, or Wilkie's syndrome, is a rare cause of postprandial epigastric pain, vomiting and weight loss caused by compression of the third part of the duodenum as it passes beneath the proximal superior mesenteric artery. The syndrome may be precipitated by sudden weight loss secondary to other pathologies, such as trauma, malignancy or eating disorders. Diagnosis is confirmed by angiography, which reveals a reduced aorto-SMA angle and distance, and contrast studies showing duodenal obstruction. Conservative management aims to increase intra-abdominal fat by dietary manipulation and thereby increase the angle between the SMA and aorta. Where surgery is indicated, division of the ligament of Treitz, anterior transposition of the third part of the duodenum and duodenojejunostomy have been described. METHODS We present four cases of SMA syndrome where the intention of treatment was laparoscopic duodenojejunostomy. The procedure was completed successfully in three patients, who recovered quickly with no short-term complications. A fourth patient underwent open gastrojejunostomy (complicated by an anastomotic bleed) when dense adhesions prevented duodenojejunostomy. CONCLUSIONS The superior mesenteric artery syndrome should be considered in patients with epigastric pain, prolonged vomiting and weight loss. Laparoscopic duodenojejunostomy is a safe and effective operation for management of the syndrome. A multi-speciality team approach including gastrointestinal, vascular and radiological specialists should be invoked in the management of these patients.
[Mh] Termos MeSH primário: Duodenostomia
Jejunostomia
Laparoscopia
Síndrome da Artéria Mesentérica Superior/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2017.0063


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[PMID]:28335060
[Au] Autor:Hammel A; Salamon J; Bannas P
[Ad] Endereço:Radiology, UKE Hamburg, Germany.
[Ti] Título:Das SMA-Syndrom als seltene Differenzialdiagnose des akuten Abdomens..
[So] Source:Rofo;189(4):363-365, 2017 Apr.
[Is] ISSN:1438-9010
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Abdome Agudo/diagnóstico por imagem
Abdome Agudo/etiologia
Angiografia por Tomografia Computadorizada/métodos
Doenças Raras/diagnóstico por imagem
Síndrome da Artéria Mesentérica Superior/complicações
Síndrome da Artéria Mesentérica Superior/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Feminino
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-121811


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[PMID]:28100057
[Au] Autor:Oliva-Fonte C; Fernández Rey C; Pereda Rodríguez J; González-Fernández AM
[Ad] Endereço:Radiodiagnóstico, Hospita General de Segovia, españa.
[Ti] Título:Wilkie´s syndrome.
[So] Source:Rev Esp Enferm Dig;109(1):62-63, 2017 Jan.
[Is] ISSN:1130-0108
[Cp] País de publicação:Spain
[La] Idioma:eng
[Ab] Resumo:We report the case of a 14 year-old woman, who presents epigastric abdominal pain, abundant vomits and an important abdominal distension. Previously, she presented similar episodes. She has not any significant prior medical history. CT is performed and the imaging findings are consistent with Wilkie´s syndrome. Wilkie´s syndrome is a rare condition, that results from a intestinal obstruction caused by third portion duodenal compression between the abdominal aorta and the superior mesenteric artery. When the angle between both structures diminishes and the distance between the SMA and the aorta decreases (the most diagnostic value), duodenal obstruction occurs. Initially conservative management is adopted, but in some cases surgical treatment is necessary. Multislice CT has demonstrated an excellent diagnostic value when this entity is suspected. It provides multiplanar reconstructions, which are useful to measure the distance and the aortomesenteric angle and to rule out other possible etiologies.
[Mh] Termos MeSH primário: Síndrome da Artéria Mesentérica Superior/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Tratamento Conservador
Feminino
Seres Humanos
Angiografia por Ressonância Magnética
Síndrome da Artéria Mesentérica Superior/patologia
Síndrome da Artéria Mesentérica Superior/terapia
Tomografia Computadorizada por Raios X
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170120
[St] Status:MEDLINE


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[PMID]:28100055
[Au] Autor:Barquín Yagüez J; Abadía Barnó P; García Pérez JC
[Ad] Endereço:Cirugia General y Digestiva, Hospital Ramón y Cajal, España.
[Ti] Título:Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction.
[So] Source:Rev Esp Enferm Dig;109(1):60, 2017 Jan.
[Is] ISSN:1130-0108
[Cp] País de publicação:Spain
[La] Idioma:eng
[Ab] Resumo:Superior mesenteric artery syndrome, also Wilkie's syndrome, is an uncommon cause of upper intestinal obstruction. It includes compression of the third duodenal portion by the aorta and the overlying superior mesenteric artery when the angle formed by these two structures becomes smaller. It may result from significant weight loss or abdominal trauma, or may have a congenital origin. Treatment for most cases is conservative.
[Mh] Termos MeSH primário: Obstrução Intestinal/diagnóstico por imagem
Obstrução Intestinal/etiologia
Síndrome da Artéria Mesentérica Superior/complicações
Síndrome da Artéria Mesentérica Superior/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso
Duodenopatias/etiologia
Feminino
Seres Humanos
Obstrução Intestinal/terapia
Intubação Gastrointestinal
Síndrome da Artéria Mesentérica Superior/terapia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170120
[St] Status:MEDLINE


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[PMID]:28099334
[Au] Autor:Yan C; Hu ZW; Wu JM; Zhang C; Yan L; Wang ZG
[Ad] Endereço:aDepartment of Vascular Surgery, Xuan Wu Hospital, Capital Medical University bDepartment of Gastroesophageal Reflux Disease, The General Hospital of the PLA Rocket, Beijing, China.
[Ti] Título:Laparoscopic Toupet fundoplication with duodenojejunostomy for the management of superior mesenteric artery syndrome with reflux symptoms.
[So] Source:Medicine (Baltimore);96(3):e5771, 2017 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: The patient had symptoms of GERD and the reflux even caused the symptom of cough. Gaining weight is a risk factor for the treatment of reflux as it could exacerbated symptoms of reflux and the drug treatment is not effective. Surgical intervention becomes necessary when there is failure following conservative medical therapy or the patient. PATIENT CONCERNS: The patient was not satisfied with the drug treatment. DIAGNOSES: Superior mesenteric artery syndrome, gastroesophageal reflux disease. INTERVENTIONS: Laparoscopic Toupet fundoplication with duodenojejunostomy. OUTCOMES: The patient discharged from hospital 10 days after surgery without any postoperative complication. The patient achieved complete relief of symptoms and discontinuation of drug. LESSONS SUBSECTIONS: Superior mesenteric artery (SMA) syndrome may manifest the symptoms of GERD such as heartburn, acid reflux and cough. It is necessary to complete examination to exclude superior mesenteric artery syndrome for these patients. Laparoscopic fundoplication with duodenojejunostomy provided an effective treatment for patients who failed drug treatment.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos do Sistema Digestório/métodos
Síndrome da Artéria Mesentérica Superior/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
Laparoscopia
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170119
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000005771


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[PMID]:27506751
[Au] Autor:So CY; Chan KY; Au HY; Chan ML; Lai T
[Ad] Endereço:Palliative Medical Unit, Grantham Hospital, 125 Wong Chuk Hang, Hong Kong, China.
[Ti] Título:Superior mesenteric artery (SMA) syndrome: an unusual cause of intestinal obstruction in palliative care.
[So] Source:Ann Palliat Med;6(1):91-93, 2017 Jan.
[Is] ISSN:2224-5839
[Cp] País de publicação:China
[La] Idioma:eng
[Ab] Resumo:Superior mesenteric artery (SMA) syndrome is an uncommon cause of intestinal obstruction and seldom been mentioned in palliative care. Hereby, we reported a case of SMA syndrome who presented with symptoms of upper intestinal obstruction in a 68-year-old patient; subsequent CT findings were classical of SMA syndrome. The patient's history of poliomyelitis and recent significant weight loss were the predisposing factors for SMA syndrome. It also highlights the importance of monitoring signs and symptoms of intestinal obstruction in such patients before considering switching to oral feeding.
[Mh] Termos MeSH primário: Cuidados Paliativos
Síndrome da Artéria Mesentérica Superior/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Masculino
Radiografia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170227
[Lr] Data última revisão:
170227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160811
[St] Status:MEDLINE
[do] DOI:10.21037/apm.2016.07.03


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[PMID]:27405482
[Au] Autor:Chang J; Boules M; Rodriguez J; Walsh M; Rosenthal R; Kroh M
[Ad] Endereço:Digestive Disease Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue A100, Cleveland, OH, 44195, USA. Juliettac@gmail.com.
[Ti] Título:Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome: intermediate follow-up results and a review of the literature.
[So] Source:Surg Endosc;31(3):1180-1185, 2017 Mar.
[Is] ISSN:1432-2218
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Superior mesenteric artery syndrome (SMAS) is a rare condition caused by partial obstruction of the third portion of the duodenum by the SMA anteriorly and aorta posteriorly. Laparoscopic duodenojejunostomy has been described as a safe and feasible surgical intervention with favorable short-term outcomes. However, descriptions of intermediate outcomes are lacking in the literature. METHODS: A retrospective chart review was performed on patients who underwent minimally invasive duodenojejunostomy from March 2005 to August 2015 at our healthcare system with greater than 6-month follow-up. RESULTS: Eighteen patients with mean age of 31.2 were identified. There were 4 men and 14 women. Patients' diagnosis was made by clinical presentation with radiographic confirmation. Mean weight loss preoperatively was 13.9 kg, representing 24.1 % total body weight loss. There were no intraoperative complications. Postoperatively, 2 patients developed prolonged ileus. One underwent exploratory laparotomy and washout for presumed leak, but none was identified. Three patients were readmitted within 30 days; 2 for intolerance to enteral intake with dehydration, and 1 for closed-loop obstruction requiring laparoscopic lysis of adhesions. The average and median length of follow-up were 27.7 and 26.0 months, respectively. Patients gained an average of 2.2 kg with an increase in body mass index of from 19.6 to 20.4 m/kg . Although 14 of 18 patients reported initial symptom improvement, at latest follow-up, only 6 patients reported symptomatic improvement or resolution. Three were diagnosed with global dysmotility, and 1 underwent intestinal transplant. Two were diagnosed with gastroparesis, and 1 underwent a laparoscopic gastric electric stimulator placement and pyloroplasty. There were no mortalities. CONCLUSION: Duodenojejunostomy is the most common surgical intervention in management of SMAS. Our intermediate follow-up reveals infrequent improvement and rare resolution of preoperative symptomatology. Patients had a modest average weight gain postoperatively. This may suggest that different preoperative workup and treatment is indicated.
[Mh] Termos MeSH primário: Duodenostomia
Jejunostomia
Laparoscopia
Síndrome da Artéria Mesentérica Superior/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seguimentos
Seres Humanos
Masculino
Readmissão do Paciente
Complicações Pós-Operatórias
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160714
[St] Status:MEDLINE
[do] DOI:10.1007/s00464-016-5088-2


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[PMID]:28292053
[Au] Autor:Traore MM; Leye PA; Bah MD; Kinkpe CV; Ndiaye PI; Daffe M; Toure AO; Kane O
[Ad] Endereço:Centre Hospitalier de l'Ordre de Malte à Dakar, Sénégal.
[Ti] Título:[Early form of Wilkie's syndrome: a rare complication of scoliosis surgery, about a case and review of the literature].
[Ti] Título:Forme précoce du syndrome de Wilkie: complication rare de la chirurgie pour scoliose à propos d'un cas et revue de la littérature..
[So] Source:Pan Afr Med J;25:90, 2016.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Superior mesenteric artery syndrome is a rare complication occurring after surgical treatment for scoliosis. Surgical correction of the scoliotic spine produces vertical traction on the mesenteric artery and the narrowing of the aortomesenteric angle, hence the compression of the third part of the duodenum causing the syndrome. We here report the case of a young girl with an early form of superior mesenteric artery syndrome secondary to surgical correction of idiopathic scoliosis. The patient underwent posterior spinal fusion for idiopathic scoliosis. On the third postoperative day she experienced uncontrollable vomiting associated with no evacuation of faeces and no passing of flatus. Urgent abdominal CT scan was performed which allowed the diagnosis of superior mesenteric artery syndrome. Treatment consisted in the rest of the digestive tract associated with early parenteral nutrition and correction of fluid and electrolyte imbalances. Lacking evidence of clinical improvement, surgical indication was posed. The evolution was favourable with an uneventful postoperative recovery and the resumption of adequate food intake on the fourth postoperative day. The patient was discharged on the seventh postoperative day. Contributing factors are young age, long-limbed morphotype with BMI below 18. CT scan shows an important gastric dilatation associated with complete halt of the third part of the duodenum. The treatment is multidisciplinary, medical (first-line treatment) and surgical (if medical treatment do not help). A better knowledge of the predictors of medical treatment failure would reduce the length of hospital stay.
[Mh] Termos MeSH primário: Escoliose/cirurgia
Fusão Vertebral/efeitos adversos
Síndrome da Artéria Mesentérica Superior/etiologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Complicações Pós-Operatórias/fisiopatologia
Fusão Vertebral/métodos
Síndrome da Artéria Mesentérica Superior/diagnóstico por imagem
Síndrome da Artéria Mesentérica Superior/terapia
Tomografia Computadorizada por Raios X/métodos
Vômito/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170330
[Lr] Data última revisão:
170330
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2016.25.90.8773


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[PMID]:27993824
[Au] Autor:Nishiguchi S; Shirobe T
[Ad] Endereço:Department of General Internal Medicine, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.
[Ti] Título:Acute abdominal pain caused by superior mesenteric artery syndrome in a healthy young boy.
[So] Source:BMJ Case Rep;2016, 2016 Dec 19.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Dor Abdominal/etiologia
Artéria Mesentérica Superior/diagnóstico por imagem
Síndrome da Artéria Mesentérica Superior/complicações
[Mh] Termos MeSH secundário: Dor Abdominal/diagnóstico
Seres Humanos
Masculino
Radiografia Abdominal
Síndrome da Artéria Mesentérica Superior/diagnóstico
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170307
[Lr] Data última revisão:
170307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161221
[St] Status:MEDLINE



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