VASCULAR COMPRESSION OF DUODENUM - PRESENTATION OF 10 CASES AND REVIEW OF LITERATURE

  • 1 January 1976
    • journal article
    • research article
    • Vol. 79  (5) , 515-522
Abstract
Cases (10) of vascular compression of the duodenum are presented, and 125 cases in the literature since 1962 are reviewed. More common in women than in men, the lesion may result from supine immobilization, wearing body cast or a rapid weight loss. In about 1/3 of the patients, no predisposing factor can be found. Diagnosis is best made by cinefluoroscopy. Although conservative measures provide relief in a few patients, most require surgery. Section of the suspensory muscle and relocation of the duodenojejunal junction relieve the symptoms in many patients. Duodenojejunostomy is required in some others. Complete relief is expected in all but a very few patients. Those who have developed neurotic eating habits from years of discomfort may not show immediate improvement. Untreated vascular compression of the duodenum may be chronic or may become acute with fatal results.

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