腹腔镜十二指肠空肠吻合术治疗小儿肠系膜上动脉综合征的病例系列
A Case Series of Laparoscopic Duodenojejunostomy for the Treatment of Pediatric Superior Mesenteric Artery Syndrome.
作者信息
Bohanon F J, Nunez Lopez O, Graham B M, Griffin L W, Radhakrishnan R S
机构信息
Department of Surgery, University of Texas Medical Branch, 301 University Blvd., Galveston, TX, 77555, USA.
Department of Surgery, University of Texas Medical Branch, 301 University Blvd., Galveston, TX, 77555, USA.; Department of Pediatrics, University of Texas Medical Branch, 301 University Blvd., Galveston, TX, 77555, USA.
出版信息
Int J Surg Res. 2016;2016(Suppl 1):1-5. Epub 2016 Apr 7.
Superior mesenteric artery syndrome (SMAS) is a rare, debilitating clinical condition caused by compression of the third portion of the duodenum by the superior mesenteric artery. Common symptoms include intermittent postprandial abdominal pain, nausea, weight loss, and bilious vomiting. Here we present a case series of three patients with SMAS who were treated with laparoscopic duodenojejunostomy. Patients were females between 12-17 years old. All patients underwent a successful laparoscopic duodenojejunostomy after diagnosis. Mean time to feedings after surgery was 4.00±1.15 days (mean ± SD) and length of stay was 8.6±2.7 days. SMAS remains a complex disease to diagnose and treat. Here we demonstrate that laparoscopic treatment of SMAS is a safe surgical treatment option, and is associated with earlier initiation of enteral feeds and a shorter hospital stay after surgery when compared to medical treatment. This is a safe, effective, and relatively simple procedure for the experienced minimally invasive surgeon [1].
肠系膜上动脉综合征（SMAS）是一种罕见的、使人虚弱的临床病症，由肠系膜上动脉压迫十二指肠第三部引起。常见症状包括间歇性餐后腹痛、恶心、体重减轻和胆汁性呕吐。在此，我们报告一系列三例接受腹腔镜十二指肠空肠吻合术治疗的SMAS患者。患者为12至17岁的女性。所有患者在诊断后均成功接受了腹腔镜十二指肠空肠吻合术。术后开始进食的平均时间为4.00±1.15天（平均值±标准差），住院时间为8.6±2.7天。SMAS仍然是一种诊断和治疗都很复杂的疾病。在此我们证明，与药物治疗相比，腹腔镜治疗SMAS是一种安全的手术治疗选择，并且与更早开始肠内喂养和术后较短的住院时间相关。对于经验丰富的微创外科医生来说，这是一种安全、有效且相对简单的手术 [1]。
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