Non-Surgical Treatment for Superior Mesenteric Artery Syndrome

上腸繫動脈症候群之非手術治療

陳盛斌(Sheng-Bin Chen)

《中華民國大腸直腸外科醫學會雜誌》 16卷1期 (2005/03) Pp. 28-32

https://doi.org/10.6312/SCRSTW.2005.16(1).09404

摘要

上腸繫動脈症候群是造成十二指腸阻塞的罕見原因。本篇報告一例六十歲之女性，於接受乙狀結腸癌切除手術後，發生持續腹脹及嘔吐的症狀。患者於手術期間體重明顯減輕達十公斤。十二指腸造影發現於第三部分有突發性顯影阻斷。腹部超音波則顯示上腸繫動脈角度過窄之現象。在給予全靜脈營養注射後，體重逐漸恢復，同時腹脹及嘔吐的症狀亦慢慢改善。追蹤十二指腸造影發現，原本十二指腸阻塞之處已不復存在。因此，對於此種有明顯之誘發因子所造成的上腸繫動脈症候群，利用保守療法將誘發因子去除後，可以得到有效之治療結果。

關鍵字

上腸繫動脈症候群 ； 低張性十二指腸攝影

並列摘要

Superior mesenteric artery syndrome is an uncommon cause of duodenal obstruction. We present a case of 60-year-old woman with complaints of epigastric fullness and vomiting after surgery for sigmoid cancer. Rapid weight loss from 55 to 45 kg was noted during the perioperative period. Hypotonic duodenography showed an abrupt filling defect at the third portion of the duodenum and abdominal ultrasound revealed a narrow aortomesenteric angle. Total parenteral nutrition was supplied and the symptoms subsided with weight gain. Follow-up duodenography revealed the smooth passage of contrast through the duodenum. We conclude that conservative treatment for SMA syndrome is adequate and effective if the predisposing factors are corrected.

並列關鍵字

SMA(superior mesenteric artery) ； syndrome ； Hypotonic duodenography