Arteriomesenteric syndrome as a cause of duodenal obstruction in children with cerebral palsy

被引:11
作者
Delgadillo, X
Belpaire-Dethiou, MC
Chantrain, C
Clapuyt, P
Veyckemans, F
de Goyet, JD
Otte, JB
Reding, R
机构
[1] Univ Louvain, Sch Med, Clin Univ St Luc, Dept Pediat Surg, Brussels, Belgium
[2] Univ Louvain, Sch Med, Clin Univ St Luc, Dept Neuropediat, Brussels, Belgium
[3] Univ Louvain, Sch Med, Clin Univ St Luc, Dept Pediat Radiol, Brussels, Belgium
[4] Univ Louvain, Sch Med, Clin Univ St Luc, Dept Anesthesiol, Brussels, Belgium
关键词
arteriomesenteric compression; duodenal occlusion; cerebral palsy;
D O I
10.1016/S0022-3468(97)90515-7
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Two cases of gastroduodenal outlet obstruction caused by arteriomesenteric compression in children who have cerebral palsy are reported. Clinical symptoms of gastrointestinal obstruction include recurrent postprandial nausea and vomiting, upper abdominal distension, and pain. In such patients, multiple predisposing factors can contribute to the development of arteriomesenteric compression, including marked weight loss, supine position, and severe scoliosis. Upper gastrointestinal x-rays using barium contrast allow diagnostic confirmation. In our experience, this cause of acute gastroduodenal outlet obstruction may usually resolve after conservative treatment using a jejunal feeding tube passed beyond the compression, left lateral positioning, and renutrition.
引用
收藏
页码:1721 / 1723
页数:3
相关论文
共 10 条
[1]  
AKIN JT, 1976, SURGERY, V79, P515
[2]  
ANURAS S, 1988, ANNU REV MED, V39, P1, DOI 10.1146/annurev.me.39.020188.000245
[3]   SUPERIOR MESENTERIC-ARTERY SYNDROME IN A CHILD [J].
BONNET, JP ;
LOUIS, D ;
FORAY, P .
ARCHIVES DE PEDIATRIE, 1995, 2 (04) :333-338
[4]   SUPERIOR MESENTERIC-ARTERY SYNDROME - DIAGNOSTIC-CRITERIA AND THERAPEUTIC APPROACHES [J].
HINES, JR ;
GORE, RM ;
BALLANTYNE, GH .
AMERICAN JOURNAL OF SURGERY, 1984, 148 (05) :630-632
[5]  
MARCHANT EA, 1989, SURG GYNECOL OBSTET, V168, P381
[6]  
MARTINHORTIGUEL.ME, 1992, PEDIAT SURG INT, V7, P146
[7]   FAMILIAL SUPERIOR MESENTERIC-ARTERY SYNDROME [J].
ORTIZ, C ;
CLEVELAND, RH ;
BLICKMAN, JG ;
JARAMILLO, D ;
KIM, SH .
PEDIATRIC RADIOLOGY, 1990, 20 (08) :588-589
[8]   SUPERIOR MESENTERIC-ARTERY SYNDROME - CASE-REPORT AND REVIEW OF THE LITERATURE [J].
PATIL, KK ;
TELMESANI, A ;
OGUNBIYI, OA .
PEDIATRIC SURGERY INTERNATIONAL, 1992, 7 (02) :126-128
[9]   SUPERIOR MESENTERIC-ARTERY SYNDROME IN A CHILD WITH BRAIN INJURY - CASE-REPORT [J].
PHILIP, PA .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 1991, 70 (05) :280-282
[10]  
ROTH EJ, 1991, ARCH PHYS MED REHAB, V72, P417