Cermin Dunia Kedokteran
Vol 45 No 5 (2018): Nutrisi

Sindrom Arteri Mesenterika Superior – Tinjauan Klinis

Ramadhyan Respatio (General Practitioner Omni Hospital, Pulomas, Jakarta, Indonesia)



Article Info

Publish Date
01 May 2018

Abstract

Sindrom arteri superior mesenterik (ASM) merupakan kelainan yang jarang, kebanyakan terjadi pada pasien remaja atau dewasa muda. Kelainan ini disebabkan oleh penurunan sudut antara arteri superior mesenterik yang berasal dari aorta abdominal dengan sepertiga bagian duodenum tranversa, sehingga menyebabkan obstruksi. (ejala yang paling sering adalah nyeri perut hilang timbul yang disertai mual dan muntah. CT scan atau CT angiogram merupakan gold standard dalam diagnostik karena mampu mengukur penurunan sudut aorta mesenterik, menunjukkan dilatasi gaster dan duodenal. Duodenojejunostomi adalah pilihan terbaik dengan tingkat keberhasilan mencapai 90%, di mana duodenojejunostomi laparoskopi merupakan teknik terbaik.   Superior mesenteric arterial (SAM) syndrome is a rare disorder, mostly occurs in adolescent or young adults. It is caused by decreased angle between superior mesenteric arterial originating from abdominal aorta with one-third of the duodenal transverse passage, causing obstruction. The most often symptom is fluctuating abdominal pain accompanied by nausea and vomiting. A CT scan or CT angiogram is the gold standard in diagnostic, as it is capable of measuring the reduced angle of the aorta mesentric, indicating both gastric and duodenal dilatation. Duodenojejunostomy is the best choice with a 90% success rate in which laparoscopic duodenojejunostomy is the best technique

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Journal Info

Abbrev

cdk

Publisher

Subject

Health Professions

Description

Cermin Dunia Kedokteran (CDK) is a Medical Journal published since 1974 and affiliated with PT Kalbe Farma Tbk. CDK is intended to help accommodate scientific publications and help increase and disseminate knowledge related to the development of medical science, pharmacy, and public health. CDK ...