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- W2378218280 abstract "Objective To evaluate the diagnosis and operative modality for superior mesenteric artery compressing syndrome(SMACS).Methods The clinical data of 38 cases with SMACS from January 1999 to December 2006 in this hospital was analyzed retrospectively.Results All patients underwent barium meal examination and the diagnosis was easy to obtained according to clinical symptom and barium study.Among the 38 cases of SMACS,9 cases underwent conservative treatment and 29 cases underwent surgical treatment.The operative modalities for these patients included lysis and downward movement of the Treitz ligament and extensive mobilization of the duodenum in 4 cases,gastrojejunal anastomosis in 2 cases,lysis of the Treitz ligament and Roux-en-Y duodenojejunostomy in 7 cases,lysis of the Treitz ligament and side to side duodenojejunostomy in 10 cases,Billroth Ⅱ gastrectomy in 4 cases,and anterior duodenojejunostomy in 2 cases.All patients were discharged from hospital as cured.Conclusion The diagnosis of SMACS should mainly depend on barium meal examination except for the typical clinical manifestations such as epigastric distending pain and vomiting.Conservative treatment should be chosen primarily before surgical decision.Correct diagnosis and appropriate operative modality for SMACS will lead to satisfactory outcomes." @default.
- W2378218280 created "2016-06-24" @default.
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- W2378218280 date "2008-01-01" @default.
- W2378218280 modified "2023-09-23" @default.
- W2378218280 title "Evaluation of Diagnosis and Operative Modality for Superior Mesenteric Artery Compressing Syndrome" @default.
- W2378218280 hasPublicationYear "2008" @default.
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