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May 1974

Vascular Compression of the Duodenum and Peptic Ulcer Disease

Author Affiliations

Ann Arbor, Mich
From the Department of Surgery, Section of General Surgery, University of Michigan Medical Center, Ann Arbor.

Arch Surg. 1974;108(5):674-679. doi:10.1001/archsurg.1974.01350290038005

The exact role of vascular compression of the duodenum to peptic ulcer disease remains unknown, although a review of the literature indicates that the association is more than coincidental. Three patients who had operations for peptic ulcer incurred severe gastric retention. Detailed studies disclosed compression of the duodenum beneath the superior mesenteric vessels. Relief of symptoms followed reoperation in each patient. Apparent gastric atony after vagotomy and pyloroplasty may be an occasional manifestation of vascular compression of the duodenum.