Superior Mesenteric Artery Syndrome: Report of three cases.
- Author:
Byoung Yoon RYU
1
;
Ji Woong CHO
;
Hong Ki KIM
;
Hong SUK
;
Sook NAMKUNG
Author Information
1. Department of Surgery, College of Medicine, Hallym University.
- Publication Type:Case Report
- Keywords:
SMA syndrome;
Spiral CT angiogram
- MeSH:
Angiography;
Aorta;
Humans;
Korea;
Mesenteric Artery, Superior*;
Physical Examination;
Superior Mesenteric Artery Syndrome*;
Tomography, Spiral Computed;
Vomiting;
Weight Loss
- From:Journal of the Korean Surgical Society
1999;57(5):764-770
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Superior mesenteric artery syndrome is a rare clinical disease in Korea. The authors experienced three cases of the superior mesenteric artery syndrome. All of patients complained of continuos bilious vomiting, epigastric discomfort, epigastric fullness, and weight loss. The superior mesenteric artery syndrome was diagnosed preoperative, by using physical examination, gastrofiberscopy, upper gastrointestinal series, abdominal computerized tomography (CT), and spiral CT angiogram. We performed a Roux-en-Y duodenojejunostomy. We measured the angle between the aorta and that superior mesenteric artery by using a spiral CT angiogram. The angles were 10o, 11o, and 11o. Postoperatively they were improved. A spiral CT angiogram was a noninvasive method of diagnosing the superior mesenteric artery syndrome compared with a femoral angiography. The Roux-en-Y duodenojejunostomy was the proper method of treatment for the superior mesenteric artery syndrome.
