糖尿病患者急性体重下降致肠系膜上动脉综合征
Superior mesenteric artery syndrome in a diabetic patient with acute weight loss.
机构信息
Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan, China.
出版信息
World J Gastroenterol. 2009 Dec 21;15(47):6004-6. doi: 10.3748/wjg.15.6004.
Abstract
Superior mesenteric artery (SMA) syndrome is an uncommon disease resulting compression of the third portion of the duodenum from the superior mesenteric artery. This disease shares many common manifestations with diabetic gastroparesis, including postprandial fullness, nausea, vomiting, and bloating. Therefore, it is often overlooked in diabetic patients. Here, we report a 41-year-old man with poorly controlled diabetic mellitus who developed SMA syndrome due to rapid weight loss. The diagnosis was confirmed by computed tomography and an upper gastrointestinal series. His condition improved after parenteral nutrient, strict sugar control, and gradual weight gain.
摘要
肠系膜上动脉（SMA）综合征是一种罕见的疾病，由肠系膜上动脉压迫十二指肠第三部分引起。这种疾病与糖尿病性胃轻瘫有许多共同的表现，包括餐后饱胀、恶心、呕吐和腹胀。因此，在糖尿病患者中经常被忽视。在这里，我们报告了一例 41 岁的男性糖尿病患者，由于体重迅速下降导致 SMA 综合征。诊断通过计算机断层扫描和上消化道系列检查得到确认。在接受肠外营养、严格控制血糖和逐渐增加体重后，他的病情得到了改善。
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