Marchant E A, Alvear D T, Fagelman K M
Department of General and Pediatric Surgery, Polyclinic Medical Center, Harrisburg, Pennsylvania.
Surg Gynecol Obstet. 1989 May;168(5):381-6.
Thirteen pediatric patients were diagnosed with superior mesenteric artery syndrome (SMAS) at our institution between 1974 and 1986. Four were successfully treated with nasojejunal feedings only, and nine underwent a derotation procedure designed to alleviate the problem of compression of the duodenum by the superior mesenteric artery. Of the nine patients who were operated upon, only one required a gastrojejunostomy to bypass a persistent obstruction. Therapy was aimed specifically toward the problem of duodenal occlusion at the mesenteric root. Because this therapy was successful in all of the patients, we conclude that SMAS exists as a treatable entity and must be considered in any adolescent patient who presents with symptoms of obstruction of the upper part of the gastrointestinal tract and failure to thrive.
1974年至1986年间，我院诊断出13例小儿肠系膜上动脉综合征（SMAS）患者。其中4例仅通过鼻空肠喂养成功治愈，9例接受了旨在缓解肠系膜上动脉对十二指肠压迫问题的旋转复位手术。在接受手术的9例患者中，只有1例需要进行胃空肠吻合术以绕过持续性梗阻。治疗专门针对肠系膜根部十二指肠梗阻问题。由于这种治疗方法在所有患者中均取得成功，我们得出结论，SMAS是一种可治疗的疾病，对于任何出现上消化道梗阻症状且生长发育不良的青少年患者都必须予以考虑。
