Akin J T, Gray S W, Skandalakis J E
Surgery. 1976 May;79(5):515-22.
Ten cases of vascular compression of the duodenum are presented, and 125 cases in the literature since 1962 are reviewed. More common in women than in men, the lesion may result from supine immobilization, wearing body cast, or a rapid weight loss. In about one third of the patients, no predisposing factor can be found. Diagnosis is best made by cinefluoroscopy. Although conservative measures will provide relief in a few patients, most will require surgery. Section of the suspensory muscle and relocation of the duodenojejunal junction will relieve the symptoms in many patients. Duodenojejunostomy will be required in some others. Complete relief can be expected in all but a very few patients. Those who have developed neurotic eating habits from years of discomfort may not show immediate improvement. Untreated vascular compression of the duodenum may be chronic or may become acute with fatal results.
本文报告了10例十二指肠血管压迫症病例，并对1962年以来文献报道的125例病例进行了回顾。该病变在女性中比男性更常见，可能由仰卧位固定、佩戴石膏或快速减重引起。约三分之一的患者找不到诱发因素。诊断最好通过荧光电影检查来进行。虽然保守治疗措施能使少数患者症状缓解，但大多数患者需要手术治疗。切断悬韧带并将十二指肠空肠交界处重新定位可使许多患者症状缓解。其他一些患者则需要行十二指肠空肠吻合术。除极少数患者外，所有患者均可预期获得完全缓解。因多年不适而养成神经质饮食习惯的患者可能不会立即改善。未经治疗的十二指肠血管压迫症可能是慢性的，也可能会急性发作并导致致命后果。
