Arteriomesenteric duodenal compression syndrome

Arteriomesenteric Obstruction of the Duodenum and Peptic Ulcer

“…Vannata et al [6] reported that the radiologic diagnosis o f A M O in upper G I studies was 0.1-0.3%. A similar incidence is reported by Anderson et al [7]; in 6,000 barium meals he found 12 [9] reported that in 95% o f the cases the diagnosis was made radiologically and only in 5% intraoperatively. Cim m ino [10] reported that the 'to and fro' peristaltic waves, characteristic o f A M O , can also be found in nor mal subjects, although this finding was not confirmed by other authors.…”

“…The above radiological findings might be absent dur ing the asymptomatic phase and become evident only during a painful episode [4,7], In such cases where the barium meal is negative for findings and there is clinical evidence o f A M O , Lukes et al [11] demonstrated that hypotonic duodenography is a simple and reliable test that can differentiate between normal and abnormal cases (fig. 4).…”

Recalling Superior Mesenteric Artery Syndrome

“…The pain is often described as epigastric and is characteristically relieved by a prone, knee-chest or left lateral decubitus position that all reduce small bowel mesentery tension at the aortomesenteric angle [5]. It has been well established that duodenal obstruction may lead to retrograde duodenal stasis, dilatation of the proximal duodenum and gastric reflux with occasional bile emesis and with an association of peptic ulcer disease in up to 15–25% [2, 4, 16, 18, 46, 57]. In a series of patients with major burns, 5 of 19 patients (26%) with superior mesenteric artery syndrome developed duodenal ulcerations [31].…”

“…The complex of clinical signs reflecting duodenal obstruction includes postprandial epigastric pain, nausea, vomiting, anorexia and weight loss and has been termed aortomesenteric artery compression [1], arteriomesenteric duodenal compression [2], duodenal vascular compression [3], superior mesenteric artery [4,5,6], Wilkie’s [7, 8] or cast syndrome [9]. In contrast, megaduodenum characterizes a dilatation of the duodenum without primary or secondary duodenal stenosis which has been ascribed to intestinal myopathy and which can be familial [10,11,12].…”

Arteryovenous conflicts in men with urological pathology

“…Этим термином обозначается компрессия двенад-ISSN 2225-9074 54 оБзоры лИТераТуры цатиперстной кишки верхней брыжеечной артери-ей, клинически проявляющаяся послеобеденной болью в эпигастральной области, тошнотой, рво-той, анорексией и потерей веса. Известны несколь-ко названий этого синдрома: 1) синдром аортомезентериальной артериальной компрессии [2]; 2) синдром артериомезентериальной дуоденаль-ной компрессии [3]; 3) синдром дуоденальной сосудистой компрес-сии [4]; 4) синдром верхней брыжеечной артерии [5]; 5) cиндром компрессии верхней брыжеечной арте-рией [6]; 6) Wilkie's syndrome [7]; 7) Cast syndrome [8].…”