지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.7
- 수록면
- 64 - 70 (7page)
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초록· 키워드
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Purpose: Isolated superior mesenteric artery (SMA) dissection is a rare, but increasing vascular disorder. However, optimal treatment guidelines are not well established. The purpose of this study is to review a single institutional experience in the management of isolated SMA dissections and establish optimal treatment guidelines.
Methods: Between November 2004 and August 2009, 26 patients were diagnosed with isolated SMA dissection at Eulji University Hospital. Diagnosis was confirmed with CT scans in all patients. We retrospectively reviewed the medical records, imaging studies, and the early outcomes of the patients.
Results: There were 22 (84.5%) men and 4 women. The mean age was 55.4 (39∼74) years. The mean follow-up was 39.1 (4.1∼53.3) months. In 15 patients, CT scans were performed for abdominal pain, and in the other 11 patients, the isolated SMA dissections were detected incidentally during workup for other causes. The radiographic findings included an intimal flap with a patent false lumen in 16 and intramural hematoma in 10. The dissection started at a mean of 22.3 (5∼46) ㎜ from the origin of the SMA with a mean length was 47.7 (10∼150) ㎜. Treatments included expectant management in 13, anticoagulation in 6, stenting in 6 patients, and surgery in one case of bowel infarction. None required additional intervention. All patients remained asymptomatic during follow-up.
Conclusion: Most patients with isolated SMA dissection were successfully managed medically. Surgical or percutaneous intervention should be reserved for those with evidence of bowel necrosis or mesenteric ischemia and failed cases to initial medical treatment.
Methods: Between November 2004 and August 2009, 26 patients were diagnosed with isolated SMA dissection at Eulji University Hospital. Diagnosis was confirmed with CT scans in all patients. We retrospectively reviewed the medical records, imaging studies, and the early outcomes of the patients.
Results: There were 22 (84.5%) men and 4 women. The mean age was 55.4 (39∼74) years. The mean follow-up was 39.1 (4.1∼53.3) months. In 15 patients, CT scans were performed for abdominal pain, and in the other 11 patients, the isolated SMA dissections were detected incidentally during workup for other causes. The radiographic findings included an intimal flap with a patent false lumen in 16 and intramural hematoma in 10. The dissection started at a mean of 22.3 (5∼46) ㎜ from the origin of the SMA with a mean length was 47.7 (10∼150) ㎜. Treatments included expectant management in 13, anticoagulation in 6, stenting in 6 patients, and surgery in one case of bowel infarction. None required additional intervention. All patients remained asymptomatic during follow-up.
Conclusion: Most patients with isolated SMA dissection were successfully managed medically. Surgical or percutaneous intervention should be reserved for those with evidence of bowel necrosis or mesenteric ischemia and failed cases to initial medical treatment.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - Gobble RM / 2009 / Endovascular treatment of spontaneous dissections of the superior mesenteric artery / J Vasc Surg 50 : 1326 ~ 1332
2. [학술지(정기간행물)] - Morris JT / 2008 / Three isolated superior mesenteric artery dissections: update of previous case reports, diagnostics, and treatment options / J Vasc Surg 47 : 649 ~ 653
3. [학술지(정기간행물)] - Subhas G / 2009 / Spontaneous isolated superior mesenteric artery dissection: a case report and literature review with management algorithm / Ann Vasc Surg 23 : 788 ~ 798
4. [학술지(정기간행물)] - Sakamoto I / 2007 / Imaging appearances and management of isolated spontaneous dissection of the superior mesenteric artery / Eur J Radiol 64 : 103 ~ 110
5. [학술지(정기간행물)] - Okada M / 2004 / Management of spontaneous dissection of the superior mesenteric artery / Intern Med 43 : 451 ~ 452
2. [학술지(정기간행물)] - Morris JT / 2008 / Three isolated superior mesenteric artery dissections: update of previous case reports, diagnostics, and treatment options / J Vasc Surg 47 : 649 ~ 653
3. [학술지(정기간행물)] - Subhas G / 2009 / Spontaneous isolated superior mesenteric artery dissection: a case report and literature review with management algorithm / Ann Vasc Surg 23 : 788 ~ 798
4. [학술지(정기간행물)] - Sakamoto I / 2007 / Imaging appearances and management of isolated spontaneous dissection of the superior mesenteric artery / Eur J Radiol 64 : 103 ~ 110
5. [학술지(정기간행물)] - Okada M / 2004 / Management of spontaneous dissection of the superior mesenteric artery / Intern Med 43 : 451 ~ 452
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