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題 名 | Superior Mesentery Artery Syndrome in Post-Spinal Cord Injury Masquerading as Peptic Ulcer Disease=上腸繫膜動脈症侯群在脊柱損傷病患假托以消化性潰瘍疾病表現 |
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作 者 | 黃世民; 沈延盛; 施俊偉; 林炳文; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 33:5 民89.09-10 |
頁 次 | 頁229-233 |
分類號 | 416.24 |
關鍵詞 | 上腸繫膜動脈症侯群; 脊柱損傷; 消化性潰瘍; Duodenojejunostomy; Peptic ulcer disease; Spinal cord injury; Superior mesenteric artery syndrome; SMA syndrome; |
語 文 | 英文(English) |
中文摘要 | 一位56歲男性T12脊柱損傷患者4年前因消化性潰傷出血接受緊急迷走神經切除及幽門成形手術,術後仍持續有消化性潰瘍症狀並且漸進性的食慾不振經藥物治療無效。腹部電腦斷層掃描發現十二指腸第三部分膨脹及空腸塌陷與上腸繫膜動脈症侯群診斷相吻合。病人接受十二指腸空腸吻合手術解決十二指腸阻塞問題,術後恢復情況良好。在脊柱損傷長期臥床病患併有頑固性消化性潰瘍須考慮上腸繫膜動脈症候群,並早期給予手術治療。 |
英文摘要 | A 56-year-old man, who was a victim of T12 spinal cord injury with paraplegia, developed peptic ulcer disease 4 years ago with massive bleeding in which an emergent truncal vagotomy and pyloroplasty were performed. Symptomatic peptic ulcer persisted accompanied by progressive poor oral intake despite conservative medical treatment. Computed tomography revealed dilatation of the third portion of the duodenum with collapse of the proximal jejunum compatible to SMA syndrome. Duodenojejunostomy was performed to relieve the obstruction. Post-operative course is uneventful. Among patients with intractable peptic ulcer disease associated with bed-ridden spinal cord injury, superior mesenteric artery (SMA) syndrome sholllld always be kept in mind and early surgical intervention is indicated. |
本系統中英文摘要資訊取自各篇刊載內容。