naa a22 4500 510723594 CHVBK 20180411082927.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12262-012-0423-x doi (NATIONALLICENCE)springer-10.1007/s12262-012-0423-x Superior Mesenteric Artery Syndrome: A Rare Cause of Intestinal Obstruction. Diagnosis and Surgical Management [Elektronische Daten] [Savas Yakan, Cemil Calıskan, Hasan Kaplan, Ali Deneclı, Ahmet Coker] Superior mesenteric artery syndrome is a rare but well-known clinical entity characterized by compression of the third or transverse portion of the duodenum against the aorta by the superior mesenteric artery, resulting in chronic, intermittent, or acute, complete or partial, duodenal obstruction. The treatment for this arteriomesenteric compression includes conservative measures and surgical intervention. The aim of the study was to evaluate our surgical management and outcomes of the patients with superior mesenteric artery syndrome. The cases with superior mesenteric artery syndrome admitted between January 2000 and January 2010 were retrospectively investigated from the patients' records. All six patients had a history of chronic abdominal pain, nausea, postprandial early satiety, vomiting, and weight loss. Diagnostic methods included barium esophagogastroduodenography, upper gastrointestinal endoscopy, and computed tomography. Medical management was the first step of treatment in all cases before surgery. Of those, four underwent Roux-en-Y duodenojejunostomy and two underwent gastroenterostomy. Postoperative periods were uneventful and mean duration of hospitalization after the operations was 7days. Conservative initial treatment is usually followed by surgical intervention for the main problem that is the narrowing of the aortomesenteric angle in patients with superior mesenteric artery syndrome. This syndrome should be considered in the differential diagnosis in patients with chronic upper abdominal pain. Duodenojejunostomy is the most frequently used procedure with a high success rate. Association of Surgeons of India, 2012 Superior mesenteric artery syndrome nationallicence Intestinal obstruction nationallicence Diagnosis nationallicence Surgical management nationallicence Yakan Savas Department of Surgery, Izmir Bozyaka Education and Research Hospital Ministry of Health, 9207 sokak No:4 Daire:2 Maliyeciler sitesi, Karabağlar Izmir, Turkey aut Calıskan Cemil Department of Surgery, Ege University Faculty of Medicine, Izmir, Turkey aut Kaplan Hasan Department of Surgery, Ege University Faculty of Medicine, Izmir, Turkey aut Deneclı Ali Department of Surgery, Izmir Bozyaka Education and Research Hospital Ministry of Health, 9207 sokak No:4 Daire:2 Maliyeciler sitesi, Karabağlar Izmir, Turkey aut Coker Ahmet Department of Surgery, Ege University Faculty of Medicine, Izmir, Turkey aut Indian Journal of Surgery Springer-Verlag 75/2(2013-04-01), 106-110 0972-2068 75:2<106 2013 75 12262 https://doi.org/10.1007/s12262-012-0423-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-012-0423-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yakan Savas Department of Surgery, Izmir Bozyaka Education and Research Hospital Ministry of Health, 9207 sokak No:4 Daire:2 Maliyeciler sitesi, Karabağlar Izmir, Turkey aut NATIONALLICENCE 700 1- Calıskan Cemil Department of Surgery, Ege University Faculty of Medicine, Izmir, Turkey aut NATIONALLICENCE 700 1- Kaplan Hasan Department of Surgery, Ege University Faculty of Medicine, Izmir, Turkey aut NATIONALLICENCE 700 1- Deneclı Ali Department of Surgery, Izmir Bozyaka Education and Research Hospital Ministry of Health, 9207 sokak No:4 Daire:2 Maliyeciler sitesi, Karabağlar Izmir, Turkey aut NATIONALLICENCE 700 1- Coker Ahmet Department of Surgery, Ege University Faculty of Medicine, Izmir, Turkey aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer-Verlag 75/2(2013-04-01), 106-110 0972-2068 75:2<106 2013 75 12262 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer