SUPERIOR MESENTERIC ARTERY SYNDROME SUCCESSFULLY TREATED BY PROMPT SURGICAL OPERATION IN AN ELDERLY PATIENT-REPORT OF A CASE

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 63; no. 6; pp. 1429 - 1433
• Main Authors: ONO, Keiji, SATO, Yoshitoshi, FUNATSUKA, Masahide, YANG, Seiji
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 2002
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.63.1429

We experienced a case of superior mesenteric artery syndrome (SMAS) in an elderly patient who was successfully treated by prompt surgical operation. A 77-year-old man was admitted to the hospital because of nausea, abdominal pain and distension. SMAS was diagnosed by abdominal computed tomography, gastroduodenography and ultrasonic examination. Conservative therapy for five days was ineffective, and he underwent surgical operation. We employed so-called duodenojejunostomy that invalved mechanical anastomosis of the part of extended duodenum and proximal jejunum on retrocolic root. The post operative course was uneventful, and the patient was discharged on the 27th postoperative day. Three months later, the patient gained 5kg in weight and developed activities of daily living. Minimal invasive and useful operation in an early phase is thought to be an effective therapy for elderly patient with SMAS for whom conservative therapy is almost ineffective.