Superior mesenteric artery syndrome after lung transplantation: a rare early gastrointestinal complication of lung transplantation

Superior mesenteric artery syndrome after lung transplantation: a rare early gastrointestinal complication of lung transplantation
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肺移植后肠系膜上动脉综合征:一种罕见的肺移植早期胃肠道并发症

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发表时间:
2017
期刊:
Surgery today (Print)
影响因子:
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通讯作者:
H. Date
H. Date
中科院分区:
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文献类型:
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作者:
H. Kayawake;T. Chen;A. Aoyama;Jitian Zhang;H. Date

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肺移植后有时会出现胃肠道并发症,这仍然是术后并发症的一个原因。肠系膜上动脉综合征是由肠系膜上动脉压迫十二指肠引起的,但很少有报告描述肺移植后肠系膜上动脉综合征。我们在此报告两例肠系膜上动脉综合征作为肺移植术后的早期并发症。两名患者在移植前都很消瘦,体重也有所下降。他们还在移植后早期额外减掉了2-4公斤。他们接受了肠内营养的药物治疗,并痊愈了,没有再出现综合征。由于患有肺部疾病的危重患者通常在肺移植前和术后早期体重减轻,肠系膜上动脉综合征在移植后胃肠道并发症的鉴别诊断中是重要的。
Gastrointestinal complications sometimes occur after lung transplantation and remain a cause of postoperative morbidity. Superior mesenteric artery syndrome is caused by the compression of the duodenum by the superior mesenteric artery, but few reports have described superior mesenteric artery syndrome after lung transplantation. We herein report two cases of superior mesenteric artery syndrome as an early complication after lung transplantation. Both patients were emaciated and had lost weight before transplantation. They also lost an additional 2–4 kg early after transplantation. They were medically treated with enteral nutrition and recovered without recurrence of the syndrome. Since critically ill patients with pulmonary disease usually lose weight both before and early after lung transplantation, superior mesenteric artery syndrome is important to consider in the differential diagnosis of gastrointestinal complications after transplantation.
DOI: 10.1177/0148607113496117
发表时间: 2013-09
期刊: JPEN. Journal of parenteral and enteral nutrition
影响因子: --
作者:
Finnerty CC;Mabvuure NT;Ali A;Kozar RA;Herndon DN
通讯作者: Herndon DN