Assessment of Duodenal Circular Drainage in Treatment of Superior Mesenteric Artery Syndrome

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2008 Jan 12

PMID 18186572

Citations 6

Authors

Wei-liang Yang

Xin-Chen Zhang

Affiliations

Soon will be listed here.

Abstract

Aim: To assess the clinical value of duodenal circular drainage for superior mesenteric artery syndrome (SMAS).

Methods: Forty-seven cases of SMAS were treated with duodenal circular drainage from 1959 to 2001. Clinical data were analyzed retrospectively.

Results: In this group, good effects were achieved in 39 cases treated with duodenal circular drainage after 2-15 years of follow-up. The other eight cases were first treated with anterior repositioning of the duodenum (two cases), duodenojejunostomy (five cases), subtotal gastrectomy and billroth II gastrojejunostomy (one case), but vomiting was not relieved until duodenal circular drainage was performed again. A follow-up study of 8-10 years revealed satisfactory results in these eight patients.

Conclusion: In SMAS, if the reversed peristalsis is strong and continuous, and vomiting occurs frequently, the symptom can not be relieved even if the obstruction of duodenum is removed surgically. The key treatment is the relief of reversed peristalsis. The duodenal circular drainage can resolve the drainage direction of duodenal content, thus relieving the symptom of vomiting.

Citing Articles

Comprehensive interventions for adult cyclic vomiting syndrome complicated by superior mesenteric artery syndrome: A case report.

Liu B, Sun H, Liu Y, Yuan M, Zhu H, Zhang W World J Clin Cases. 2024; 12(29):6327-6334.

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Understanding Superior Mesenteric Artery Syndrome: Etiology, Symptoms, Diagnosis, and Management.

Navandhar P, Shinde R, Gharde P, Nagtode T, Badwaik N Cureus. 2024; 16(6):e61532.

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Co-occurring superior mesenteric artery syndrome and nutcracker syndrome requiring Roux-en-Y duodenojejunostomy and left renal vein transposition: a case report and review of the literature.

Heidbreder R J Med Case Rep. 2018; 12(1):214.

PMID: 30081961 PMC: 6091179. DOI: 10.1186/s13256-018-1743-7.

Superior mesenteric artery syndrome: an uncommon cause of abdominal pain mimicking gastric outlet obstruction.

Shah D, Naware S, Thind S, Kuber R Ann Med Health Sci Res. 2013; 3(Suppl 1):S24-6.

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Superior mesenteric artery syndrome in a patient with Charcot Marie Tooth disease.

Beltran O, Valverde Martinez A, Manrique M, Rodriguez J, Febres E, Rufian Pena S World J Gastrointest Surg. 2012; 3(12):197-200.

PMID: 22224174 PMC: 3251743. DOI: 10.4240/wjgs.v3.i12.197.

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