계명대학교 의학도서관 Repository

Superior Mesenteric Artery Syndrome: Where Do We Stand Today?

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Author(s)
Tae Hee LeeJoon Seong LeeYunju JoKyung Sik ParkJae Hee CheonYong Sung KimJae Young JangYoung Woo Kang
Keimyung Author(s)
Park, Kyung Sik
Department
Dept. of Internal Medicine (내과학)
Journal Title
Journal of Gastrointestinal Surgery
Issued Date
2012
Volume
16
Issue
12
Keyword
DiagnosisManagementSuperior mesenteric artery syndrome
Abstract
Background:

Most data on large studies of superior mesenteric artery syndrome (SMAS) were published over 30 years ago. New studies are needed so that current medical progress can influence SMAS diagnosis and improve therapeutic outcomes.


Methods
:
This study was conducted to report the clinical features and outcomes of SMAS. From January 2000 to December 2009, 80 cases (53 females, median age 28 years) of SMAS were collected retrospectively from seven university hospitals in South Korea.


Results:

The median body mass index at diagnosis was 17.4 kg/m2, with a range of 10–22.1. Forty (50 %) of the 80 SMAS patients had co-morbid conditions including mental and behavioral disorders, infectious disorders, and disorders of the nervous system (21.3, 12.5, and 11.3 %, respectively). Computerized tomography was most commonly (93.8 %) used to diagnose SMAS. The overall medical management success and recurrence rates were 71.3 and 15.8 %, respectively. Surgical management had a high 92.9 % (13/14) success rate. The most common surgical procedure for SMAS was laparoscopic duodenojejunostomy.


Conclusions:
This is the largest case series to document the clinical features and changes in diagnostic modalities, medical and surgical managements, and their outcomes in SMAS patients. Laparoscopic duodenojejunostomy is the preferred surgical procedure when medical management of the disease fails.
Keimyung Author(s)(Kor)
박경식
Publisher
School of Medicine
Citation
Tae Hee Lee et al. (2012). Superior Mesenteric Artery Syndrome: Where Do We Stand Today? Journal of Gastrointestinal Surgery, 16(12), 2203–2211. doi: 10.1007/s11605-012-2049-5
Type
Article
ISSN
1091-255X
Source
https://link.springer.com/article/10.1007%2Fs11605-012-2049-5
DOI
10.1007/s11605-012-2049-5
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34030
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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