근위축측삭경화증에서 발생한 위창자간막동맥증후군
Superior Mesenteric Artery Syndrome in Patient with Amyotrophic Lateral Sclerosis
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초록
Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disorder that causes progressive muscular weakness,severe weight loss, and ultimately death. Gastrostomy or nasogastric tube is beneficial for ALS patients with severeweight loss and dysphagia. However, the development of superior mesenteric artery (SMA) syndrome in ALS patientswhen the enteral feeding time is delayed is rarely reported. We report herein the first case of SMA syndrome in a KoreanALS patient who showed improvement after percutaneous endoscopic gastrojejunostomy(PEGJ).
Abstract
Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disorder that causes progressive muscular weakness,severe weight loss, and ultimately death. Gastrostomy or nasogastric tube is beneficial for ALS patients with severeweight loss and dysphagia. However, the development of superior mesenteric artery (SMA) syndrome in ALS patientswhen the enteral feeding time is delayed is rarely reported. We report herein the first case of SMA syndrome in a KoreanALS patient who showed improvement after percutaneous endoscopic gastrojejunostomy(PEGJ).
참고문헌 (5)
- 백원기, "한국의 근위축측삭경화증: 임상 특징 및 예후 예측 인자", 대한신경과학회지, 29(1), pp.16~24 (2011), 대한신경과학회
- Merrett ND, "Superior mesenteric artery syndrome: diagnosis and treatment strategies", J Gastrointest Surg, 13, pp.287~292 (2009)
- Shoji S, "Application of percutaneous endoscopic gastrostojejunostomy in a case of amyotrophic lateral sclerosis associated with the superior mes-enteric artery syndrome", Digestive Endoscopy, 15, pp.134~137 (2003)
- Shimizu T, "Reduction rate of body mass index predicts prognosis for sur-vival in amyotrophic lateral sclerosis: a multicenter study in Japan", Amyotroph Lateral Scler, 13, pp.363~366 (2012)
- Spataro R, "Percutaneous endoscopic gastrostomy in amyotrophic lateral sclerosis: effect on survival", J Neurol Sci, 304, pp.44~48 (2011)