| [Usefulness of ultrasonography for diagnosis and treatment in case of superior mesenteric artery (SMA) syndrome]. | |
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MedLine Citation:
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PMID: 20693752 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 37-year-old man, who had been admitted to another facility because of integration dysfunction syndrome suffered from postprandial epigastric pain, vomiting and weight loss. He was referred to our hospital for further examinations and treatment. Ultrasound examination revealed gastric and duodenal dilatation, reduction of the distance between the superior mesenteric artery (SMA) and aorta and to-and-fro movement in his duodenum, suggesting SMA syndrome. Computed tomography and upper gastrointestinal tract examination also showed findings typical of SMA syndrome. We measured the SMA-aorta distance and the passage of duodenal contents in various body positions using ultrasound. He had to-and-fro movements in his duodenum in a supine, sitting, and left recumbent position. However, when examined in the right recumbent position, the SMA-aorta distance became longest, and intestinal juice flowed from the duodenum to the jejunum. He underwent postural therapy, maintaining a right recumbent position for 30 minutes after every meal, which improved his clinical symptoms. |
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Authors:
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Michiyo Kodama; Hiroyasu Yamada; Yoko Matsumoto; Ryohei Hayashi; Ikue Noda; Mio Tanaka; Tomoki Hiramoto; Morihisa Akagi; Chiyuki Watanabe; Mikiya Kitamoto; Masaaki Sumioka; Masaru Imagawa |
Publication Detail:
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Type: Case Reports; English Abstract; Journal Article |
Journal Detail:
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Title: Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology Volume: 107 ISSN: 0446-6586 ISO Abbreviation: Nihon Shokakibyo Gakkai Zasshi Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-09 Completed Date: 2010-09-28 Revised Date: 2011-08-02 |
Medline Journal Info:
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Nlm Unique ID: 2984683R Medline TA: Nihon Shokakibyo Gakkai Zasshi Country: Japan |
Other Details:
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Languages: jpn Pagination: 1283-9 Citation Subset: IM |
Affiliation:
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Department of Endoscopy, Hiroshima Prefectural Hospital. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Humans Male Superior Mesenteric Artery Syndrome / therapy, ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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