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Conservative Management of Spontaneous Isolated Dissection of the Superior Mesenteric Artery
Joint Authors
Kwon, Jae Hyun
Han, Yoon Hee
Lee, Jun Kyu
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-16
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Purpose.
We report the clinical outcomes of patients with spontaneous isolated dissection of the superior mesenteric artery (SIDSMA) who were treated conservatively.
Materials and Methods.
A retrospective review was performed in 14 patients from 2006 to 2016 with SIDSMA.
Their clinical features and computed tomographic angiography (CTA) characteristics, treatment methods, and clinical outcomes were analyzed.
The mean age was 53.6 (range, 41–73) years, and the mean follow-up duration was 20.6 (range, 1–54) months.
Conservative management was the primary treatment if no bowel ischemia or arterial rupture was noted.
Results.
The mean initial abdominal visual analog pain score was 7 (range, 5–9) in seven patients.
The mean total duration of abdominal pain was 10.2 days (range, 2–42 days) in 10 patients.
The mean percentage stenosis of the dissected SMA at the initial presentation was 78.8% in 14 patients.
Complete obstruction of the SMA at the initial presentation was evident in 4 of the 14 patients (28.6%).
Conservative management was successful in all 14 patients.
None of the 14 patients developed bowel ischemia or an infarction.
Abdominal pain did not recur in any patient during follow-up (mean, 20.6 months; range, 1–54 months).
Conclusion.
Conservative management was successful for all SIDSMA patients, even those with severe compression of the true lumen or complete obstruction of the dissected SMA.
American Psychological Association (APA)
Kwon, Jae Hyun& Han, Yoon Hee& Lee, Jun Kyu. 2017. Conservative Management of Spontaneous Isolated Dissection of the Superior Mesenteric Artery. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156750
Modern Language Association (MLA)
Kwon, Jae Hyun…[et al.]. Conservative Management of Spontaneous Isolated Dissection of the Superior Mesenteric Artery. Gastroenterology Research and Practice No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1156750
American Medical Association (AMA)
Kwon, Jae Hyun& Han, Yoon Hee& Lee, Jun Kyu. Conservative Management of Spontaneous Isolated Dissection of the Superior Mesenteric Artery. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156750
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156750