内镜辅助置管术治疗肠系膜上动脉综合征

Superior mesenteric artery syndrome treated successfully by endoscopy-assisted jejunal feeding tube placement.

机构信息

Department of General Surgery, University of Ulsan College of Medicine and Ulsan University Hospital, Ulsan, Republic of Korea.

Department of General Surgery, University of Ulsan College of Medicine and Ulsan University Hospital, Ulsan, Republic of Korea

出版信息

BMJ Case Rep. 2021 Nov 16;14(11):e245104. doi: 10.1136/bcr-2021-245104.

DOI:10.1136/bcr-2021-245104

PMID:34785514

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8596032/

Abstract

We report the case of a 31-year-old man with superior mesenteric artery syndrome after reoperation due to postoperative complications from rectal cancer. Although initial total parenteral nutrition (TPN) therapy failed, he underwent endoscopy-assisted feeding tube placement without complications instead of surgery. After 2 weeks of dual feeding (enteral feeding and TPN), he improved, gaining 6 kg; and an oral diet was advanced.

摘要

我们报告了一例 31 岁男性患者，因直肠癌术后并发症而再次手术后出现肠系膜上动脉综合征。尽管最初的全肠外营养（TPN）治疗失败，但他在没有并发症的情况下接受了内镜辅助置管喂养，而不是手术。经过 2 周的双管喂养（肠内喂养和 TPN）后，患者情况改善，体重增加 6kg，并开始口服饮食。