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June 20, 1966

Diagnosis and Surgical Treatment of Arteriomesenteric Obstruction of the Duodenum

JAMA. 1966;196(12):1091-1093. doi:10.1001/jama.1966.03100250101046

AMONG conditions associated with obstruction of the duodenum is the "superior mesenteric artery syndrome,"1 seemingly the result of compression of the duodenum by the superior mesenteric vessels. The typical patient is a young adult, usually a woman, with an asthenic body habitus and superimposed weight loss. The symptoms of this condition are the same as those of acute or chronic high intestinal obstruction. On roentgenographic examination or inspection at surgery, dilation and hypertrophy of the first, second, and part of the third portions of the duodenum are found with retained secretions in the stomach and churning peristalsis in the duodenum

In our experience, this syndrome is much less common than that reported by Goin and Wilk,2 who found one case in 300 roentgenograms of the upper gastrointestinal tract. In a five-year period (1957 to 1962), approximately 38,000 roentgenograms of the upper gastrointestinal tract were made at the Lahey

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