1. Instituto Nacional de Pediatría
2. INP
3. Tesis

Título :	Síndrome de arteria mesentérica superior en un paciente con tuberculosis abdominal
Creador:	González Mondragón, Miriam Berenice
Nivel de acceso:	Open access
Palabras clave :	Enfermedades - Sistema digestivo índromc ele arteria mesentéri ca upcnor enfermedad ele Wilkic compresión duodenal arteriomesentérica tuberculosi : upcrior mesentcric aticry syndromc Wilkic's synclrome artcriomesenteric duodenal compres ion tubcrculo is.
Descripción :	deterioro cognitivo, así como distonías, crisis epilépticas, espasticidad, disartria, rigidez Superior mcscntcri c ancry (S 1 ) syndrome is charactcrized by postpranclial epigrastic pain, vomit, nausea, anorexia and wcight loss. Thcsc symptoms re ·ults from the comprcssion of the third portion of thc duoclenum at the anglc bctwccn the abdominal aorta ancl the superior mesentcric artcry. Wc report the case of a chilcl with SMAS who had lost weight owing to abdominal tuberculosis. Case report: 1 O ycar-old boy hacl b en ill for a month with wcight loss, gastrobillious vomiting ancl ign of bowel obstruction. He \ as aclrniuccl in a regional hospital where a laparatorny anda jcjunostomy were pedormccl. lymph noclc biopsy indicated abdominal tuberculo i . Thc paticnt was referred to the 1 1P whcre an esophagus gastrodudcnal series and angiotomography were done. They showed ga trie dilatation and total obstruction of the third portion of de duoclenum with a clecrease of thc aortomesenteric angle. He was givcn parcntcral nutrition for 2 months without wcight increasc. nother surgical proceclure was done consisting of a lateral-lateral duoclenum-jcjuno anastomosis. Thc patient began entera! feccling 7 clays postopcratively. He hada sati factory coursc ancl rcco crcd 6 kg in 2 months. Discussion: Curren ti y, there are two options for the managemcnt of patients with SMAS: a nutritional trcatmcnt or a surgical procedurc. In our case afier thc failurc of the nutritional treatment, surgery was the indicatecl option. A cost-bcnetit analysis, indicares that the surgical trcatment was the best option. Kccping in mincl the socio-cconomica l status of our population, this option reduces clays of hospitalization as opposccl to thc high cost of parentcral nutrition. urgical treatment allows early entera! nutrition ancl an carlicr thc return ofthc patient to his family cnvironmcnt.
Colaborador(es) u otros Autores:	Granados Navas Francisco José
Fecha de publicación :	2012
Tipo de publicación:	Otros
Formato:	pdf
URI :	http://repositorio.pediatria.gob.mx:8180/handle/20.500.12103/685
Idioma:	spa
Aparece en las colecciones:	Tesis

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