SUPERIOR MESENTERIC ARTERY SYNDROME SUCCESSFULLY TREATED BY PROMPT SURGICAL OPERATION IN AN ELDERLY PATIENT-REPORT OF A CASE
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, g...
Saved in:
| Published in | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 63; no. 6; pp. 1429 - 1433 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan Surgical Association
2002
|
| Online Access | Get full text |
| ISSN | 1345-2843 1882-5133 |
| DOI | 10.3919/jjsa.63.1429 |
Cover
| Abstract | 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. |
|---|---|
| AbstractList | 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. |
| Author | FUNATSUKA, Masahide YANG, Seiji SATO, Yoshitoshi ONO, Keiji |
| Author_xml | – sequence: 1 fullname: ONO, Keiji organization: Department of Surgery, Tatsunochuo Hospital – sequence: 1 fullname: SATO, Yoshitoshi organization: Department of Surgery, Ohchi Municipal Hospital – sequence: 1 fullname: FUNATSUKA, Masahide organization: Department of Surgery, Ohchi Municipal Hospital – sequence: 1 fullname: YANG, Seiji organization: First Department of Surgery, Shimane Medical University |
| BookMark | eNp1kMFOg0AQhjemJrbVmw-wDyB1l90Ce0S6KAkCWeDAiSywVJpKDXAx8eFdrOnBxMvMZOb__mT-FVj0p14BcI_RhjDMHg-HUW4sssHUZFdgiR3HNLaYkIWeCd0apkPJDViN4wEhCzOEluArzRMugljAV57yKNOzB12hewHTItqJ-JXDNPc8nqZ-HoYFzAR3M76DTwVM9DXJ9Fk8B54bwlhbuVkQRzCIoBtBHu640Eiil9rbEDyJRQZjH7rQc1N-C65beRzV3W9fg9znmfdihPGPoVGbxGGGVckG6f-o3bSINriiqiGUtNRCjsRVw5BdVRaVyrZVS5sK4cY2baeVpFaocRhZA_PsWw-ncRxUW9bdJKfu1E-D7I4lRuWcXznnV1qknPPT0MMf6GPo3uXw-Z_cP8sP4yT36iKWw9TVR1UOXb9XmDFnJqxzmcGLoH6TQ6l68g1C7oSo |
| CitedBy_id | crossref_primary_10_3919_jjsa_69_1242 crossref_primary_10_4044_joma_122_129 crossref_primary_10_3919_jjsa_68_1966 crossref_primary_10_4030_jjcs_43_690 |
| ContentType | Journal Article |
| Copyright | Japan Surgical Association |
| Copyright_xml | – notice: Japan Surgical Association |
| DBID | AAYXX CITATION |
| DOI | 10.3919/jjsa.63.1429 |
| DatabaseName | CrossRef |
| DatabaseTitle | CrossRef |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 1882-5133 |
| EndPage | 1433 |
| ExternalDocumentID | 10_3919_jjsa_63_1429 article_ringe1998_63_6_63_6_1429_article_char_en |
| GroupedDBID | ALMA_UNASSIGNED_HOLDINGS CS3 JSF KQ8 RJT 123 2WC AAYXX CITATION |
| ID | FETCH-LOGICAL-c2389-6bad091947df04d1b4ed343f4608a1bd907bb64ae77ef4db01d7278fa3ce0d893 |
| ISSN | 1345-2843 |
| IngestDate | Thu Apr 24 23:09:21 EDT 2025 Tue Jul 01 03:24:14 EDT 2025 Wed Sep 03 06:29:47 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | false |
| IsScholarly | true |
| Issue | 6 |
| Language | English |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-c2389-6bad091947df04d1b4ed343f4608a1bd907bb64ae77ef4db01d7278fa3ce0d893 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/ringe1998/63/6/63_6_1429/_article/-char/en |
| PageCount | 5 |
| ParticipantIDs | crossref_citationtrail_10_3919_jjsa_63_1429 crossref_primary_10_3919_jjsa_63_1429 jstage_primary_article_ringe1998_63_6_63_6_1429_article_char_en |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2002 |
| PublicationDateYYYYMMDD | 2002-01-01 |
| PublicationDate_xml | – year: 2002 text: 2002 |
| PublicationDecade | 2000 |
| PublicationTitle | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) |
| PublicationTitleAlternate | Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc) |
| PublicationYear | 2002 |
| Publisher | Japan Surgical Association |
| Publisher_xml | – name: Japan Surgical Association |
| References | 10) 太田 保,平松 聡,森崎 太他:上腸間膜動脈性十二指腸閉塞症に対する大網による上腸間膜動脈前方挙上法.手術 51: 2181-2184, 1997 3) 奥山山治:[イレウス]特殊なイレウス上腸間膜動脈症候群(Superior mesenteric artery syndrome).臨消内科 4: 1189-1193, 1989 5) 小玉正智,柴田純佑,長谷川敏彦他:機構および機能の異常:十二指腸の異常.新外科学大系22C,胃十二指腸の外科III.中山書店,東京, 1989, p324-331 9) 横井公良,森山雄吉,京野昭二他:前方転位術を施行した高齢者上腸間膜動脈症候群の1例.日臨外医会誌 58: 2574-2579, 1997 2) 永井米次郎,中島克己,高橋英世他:上腸間膜動脈性十二指腸閉塞症の治療-チューブフィーディングによる保存的加療-.外科診療 27: 364-367, 1981 7) 三島好雄,今城真人:上腸間膜動脈性十二指腸閉塞症.消外 7: 779-780, 1984 1) Rokitansky C: Handbuch der pathologischen Anatomie. Vienna, Braumuller and Seidel, 1842, p187 14) Staveley AL: Chronic gastromesenteric ileus. Sueg Gynecol Obstet 11: 288-297, 1910 15) Ylinen P: Superior mesenteric artery syndrome. Clin Gastroenterol 11: 386-391, 1989 13) 濱崎達憲,森 尚秀,和田守憲二他:直腸癌手術後に上腸間膜動脈症候群をきたした1例.日消外会誌 32: 2689-2693, 1999 4) 重松 宏,森岡恭彦:[消化器関連の症候群] Superior mesenteric artery syndrome.臨消内科 4: 371-381, 1989 8) Lukes PJ, Rolny P, Nilsson AE, et al: Diagnostic value of hypotonic duodenography in superior mesenteric artery syndrome. Acuta Chir Scand 144: 39-43, 1978 12) 佐瀬正博,豊島秀浩,松尾 力:再手術により治癒した上腸間膜動脈症候群の1例.八戸赤十字病紀 1: 97-100, 1993 11) 吉川智道,管 優,高坂 一他:高齢にて発症し腸管に器質的狭窄をきたした上腸間膜動脈症候群の1例.消外 24: 123-127, 2001 6) 田村広美,加藤哲夫,小山研二他;小児の上腸間膜動脈性十二指腸閉塞症の3例の外科治療経験.外科診療 29: 374-378, 1987 |
| References_xml | – reference: 6) 田村広美,加藤哲夫,小山研二他;小児の上腸間膜動脈性十二指腸閉塞症の3例の外科治療経験.外科診療 29: 374-378, 1987 – reference: 5) 小玉正智,柴田純佑,長谷川敏彦他:機構および機能の異常:十二指腸の異常.新外科学大系22C,胃十二指腸の外科III.中山書店,東京, 1989, p324-331 – reference: 15) Ylinen P: Superior mesenteric artery syndrome. Clin Gastroenterol 11: 386-391, 1989 – reference: 4) 重松 宏,森岡恭彦:[消化器関連の症候群] Superior mesenteric artery syndrome.臨消内科 4: 371-381, 1989 – reference: 9) 横井公良,森山雄吉,京野昭二他:前方転位術を施行した高齢者上腸間膜動脈症候群の1例.日臨外医会誌 58: 2574-2579, 1997 – reference: 2) 永井米次郎,中島克己,高橋英世他:上腸間膜動脈性十二指腸閉塞症の治療-チューブフィーディングによる保存的加療-.外科診療 27: 364-367, 1981 – reference: 11) 吉川智道,管 優,高坂 一他:高齢にて発症し腸管に器質的狭窄をきたした上腸間膜動脈症候群の1例.消外 24: 123-127, 2001 – reference: 7) 三島好雄,今城真人:上腸間膜動脈性十二指腸閉塞症.消外 7: 779-780, 1984 – reference: 10) 太田 保,平松 聡,森崎 太他:上腸間膜動脈性十二指腸閉塞症に対する大網による上腸間膜動脈前方挙上法.手術 51: 2181-2184, 1997 – reference: 13) 濱崎達憲,森 尚秀,和田守憲二他:直腸癌手術後に上腸間膜動脈症候群をきたした1例.日消外会誌 32: 2689-2693, 1999 – reference: 3) 奥山山治:[イレウス]特殊なイレウス上腸間膜動脈症候群(Superior mesenteric artery syndrome).臨消内科 4: 1189-1193, 1989 – reference: 8) Lukes PJ, Rolny P, Nilsson AE, et al: Diagnostic value of hypotonic duodenography in superior mesenteric artery syndrome. Acuta Chir Scand 144: 39-43, 1978 – reference: 1) Rokitansky C: Handbuch der pathologischen Anatomie. Vienna, Braumuller and Seidel, 1842, p187 – reference: 12) 佐瀬正博,豊島秀浩,松尾 力:再手術により治癒した上腸間膜動脈症候群の1例.八戸赤十字病紀 1: 97-100, 1993 – reference: 14) Staveley AL: Chronic gastromesenteric ileus. Sueg Gynecol Obstet 11: 288-297, 1910 |
| SSID | ssj0061900 ssib002484630 ssib002484631 |
| Score | 1.4862279 |
| Snippet | We experienced a case of superior mesenteric artery syndrome (SMAS) in an elderly patient who was successfully treated by prompt surgical operation. A... |
| SourceID | crossref jstage |
| SourceType | Enrichment Source Index Database Publisher |
| StartPage | 1429 |
| Title | SUPERIOR MESENTERIC ARTERY SYNDROME SUCCESSFULLY TREATED BY PROMPT SURGICAL OPERATION IN AN ELDERLY PATIENT-REPORT OF A CASE |
| URI | https://www.jstage.jst.go.jp/article/ringe1998/63/6/63_6_1429/_article/-char/en |
| Volume | 63 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association), 2002/06/25, Vol.63(6), pp.1429-1433 |
| journalDatabaseRights | – providerCode: PRVAFT databaseName: Open Access Digital Library customDbUrl: eissn: 1882-5133 dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0061900 issn: 1345-2843 databaseCode: KQ8 dateStart: 19980101 isFulltext: true titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html providerName: Colorado Alliance of Research Libraries |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3db9MwELfK4IEXBALExof8QJ-ilGRxkuYJRWNsAqkdtJXGU2THtpoWpdXaPmwS_xJ_I3ex44UxpMFDo8bxpR_36_l317szIW-zTArFU-bzJI59JrX2s7RkPssYBzYiykA2Wb6j5HTGPp3H573ez07W0m4rBuXVrXUl_6NVGAO9YpXsP2jW3RQG4DnoF46gYTjeSceTHfYpXmEnHqwharLic8zRBINgOxGAZWi2RMQw-6U3RYpoOOcZXF1v4fKFsX3jtbJgqDA_2TvG7btB5Mw0Xh1Yqm7qKY_a_3QsrR1VcxD8WtWbef8o7g8_eCdqyb0TvlzyyrsCgj6vHFJmo3w6mX3OTanQhs8r6dA1yafjZlVYgcR21REbj8amjqhauLFvuam4mrjBNn7RCWaGEYt9WB6NgVNmDBk_7jnTtdDWBFZ_mNuQ2XCJsqdG7uayEGUhdlVdLDZ8kESDa6lu9-0bq6LLVQQvCeULlC6SqEDpe-T-YQrMBpMAvnTdN2BzHXfMnLuUI_BVA1O1bj-3KcTAu7_rvrffKNKDBXgJbYZhQ3qmj8kj663Q3EDvCemp-in50cKOXsOOGtjRFna0CztqYUfFJTWwoy3sqIMdrWrKa2phR1vYUQM7utKUU4TdMzL7eDw9OvXtLh5-CXQw8xPBJZDSjKVSB0yGgikZsUizJBjyUMgsSIVIGFdpqjSTIgglcOqh5lGpAgl0-jnZq1e1ekHoMAkTHZaClfA4xBLrQKahTmKuYy1Ytk-89osrStviHnda-V7cpsR90nez16a1y1_mvTc6cLPsD75oIu9YpIpTE3NACTcBKyfBUB3c8ZVekofNZkNNhO8V2dte7NRr4Lxb8aYB2i-Ufq5e |
| linkProvider | Colorado Alliance of Research Libraries |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Superior+Mesenteric+Artery+Syndrome+Successfully+Treated+by+Prompt+Surgical+Operation+in+an+Elderly+Patient.+Report+of+a+Case&rft.jtitle=Nihon+Rinsh%C5%8D+Geka+Gakkai+zasshi&rft.au=FUNATSUKA%2C+Masahide&rft.au=SATO%2C+Yoshitoshi&rft.au=ONO%2C+Keiji&rft.au=YANG%2C+Seiji&rft.date=2002&rft.issn=1345-2843&rft.eissn=1882-5133&rft.volume=63&rft.issue=6&rft.spage=1429&rft.epage=1433&rft_id=info:doi/10.3919%2Fjjsa.63.1429&rft.externalDBID=n%2Fa&rft.externalDocID=10_3919_jjsa_63_1429 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1345-2843&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1345-2843&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1345-2843&client=summon |