PMID: 9434008Jan 20, 1998Paper

Arteriomesenteric syndrome as a cause of duodenal obstruction in children with cerebral palsy

Journal of Pediatric Surgery
X DelgadilloR Reding

Abstract

Two cases of gastroduodenal outlet obstruction caused by arteriomesenteric compression in children who have cerebral palsy are reported. Clinical symptoms of gastrointestinal obstruction include recurrent postprandial nausea and vomiting, upper abdominal distension, and pain. In such patients, multiple predisposing factors can contribute to the development of arteriomesenteric compression, including marked weight loss, supine position, and severe scoliosis. Upper gastrointestinal x-rays using barium contrast allow diagnostic confirmation. In our experience, this cause of acute gastroduodenal outlet obstruction may usually resolve after conservative treatment using a jejunal feeding tube passed beyond the compression, left lateral positioning, and renutrition.

References

Oct 1, 1991·American Journal of Physical Medicine & Rehabilitation·P A Philip
Jan 1, 1990·Pediatric Radiology·C OrtizS H Kim
Jan 1, 1988·Annual Review of Medicine·S Anuras

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Citations

Jan 22, 2002·Current Opinion in Pediatrics·S K Chong
Jan 6, 2012·Spine·Måns Persson-BunkeLena Westbom
Dec 12, 2003·The Journal of Bone and Joint Surgery. American Volume·Glenn E LiptonH Catherine McCarthy

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