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  • Title: Syndrome of duodenal compression by the superior mesenteric artery following restorative proctocolectomy: a case report and review of literature.
    Author: Matheus Cde O, Waisberg J, Zewer MH, Godoy AC.
    Journal: Sao Paulo Med J; 2005 May 02; 123(3):151-3. PubMed ID: 16021281.
    Abstract:
    CONTEXT: Restorative proctocolectomy with anastomosis of an ileal pouch to the anal canal is a new and rare cause for triggering the syndrome of duodenal compression by the superior mesenteric artery. Restorative proctocolectomy requires assessment of the position of the duodenum in relation to aortomesenteric constriction to avoid the occurrence of duodenal compression by the superior mesenteric artery. CASE REPORT: The authors report on a case of this syndrome in a patient with familial adenomatous polyposis and review the literature on the etiopathogenesis, diagnosis, treatment and prevention of this unusual entity. CONTEXTO:: A proctocolectomia restaurativa com anastomose de bolsa ileal no canal anal é causa nova de desencadeamento da síndrome da compressão duodenal pela artéria mesentérica superior. A proctocolectomia restaurativa requer avaliação da posição do duodeno em relação ao pinçamento aortomesentérico para evitar a sua compressão pela artéria mesentérica superior. RELATO DE CASO:: Os autores relatam um caso desta síndrome em doente com polipose adenomatosa familiar e realizam revisão da literatura no tocante à etiopatogênese, diagnóstico, tratamento e prevenção desta inusitada entidade.
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