1. New modification of the Albrecht–Staveley operation for treating aorto-mesenteric compression of the duodenum
- Author
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Evgeni A. Zakharov, Vyacheslav P. Zemlyanoy, Badri V. Sigua, Vyacheslav A. Melnikov, Andrey S. Kachiuri, and Kirill V. Fetisov
- Subjects
Aorta ,medicine.medical_specialty ,business.industry ,Abdominal aorta ,Wilkie Syndrome ,Anastomosis ,Compression (physics) ,Surgery ,medicine.anatomical_structure ,medicine.artery ,medicine ,Mesenteric artery syndrome ,Duodenum ,Superior mesenteric artery ,business - Abstract
Aorto-mesenteric compression of the duodenum (Wilkie syndrome, upper mesenteric artery syndrome) is one of the causes of chronic duodenal obstruction. This condition is caused by compression of the horizontal branch of the duodenum between the abdominal aorta and the superior mesenteric artery, departing from the aorta at an acute angle. Among the causes of this pathological condition, an asthenic physique, pronounced weight loss in a short period of time, and others are distinguished. Currently, the main component of eliminating aorto-mesenteric compression is surgical intervention. Among other surgical methods, the most optimal is duodeno-jejunostomy according to AlbrechtStaveley. However, when this surgical intervention is associated with a high risk of developing a vicious circle syndrome. The developed modification of the AlbrechtStaveley operation aims to minimize the risks of developing the vicious circle syndrome.
- Published
- 2020
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