Sindrom Arteri Mesenterika Superior – Tinjauan Klinis

Authors

  • Ramadhyan Respatio General Practitioner Omni Hospital, Pulomas, Jakarta, Indonesia

DOI:

https://doi.org/10.55175/cdk.v45i5.782

Keywords:

Duodenojejunostomi, sindrom arteri mesenterika superior

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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Published

01-05-2018

How to Cite

Respatio, R. (2018). Sindrom Arteri Mesenterika Superior – Tinjauan Klinis. Cermin Dunia Kedokteran, 45(5), 332–334. https://doi.org/10.55175/cdk.v45i5.782

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