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Post a Comment New modification of the Albrecht–Staveley operation for treating aorto-mesenteric compression of the duodenum
- Authors: Sigua B.V.1, Zemlyanoy V.P.1, Kachiuri A.S.1, Fetisov K.V.1, Zakharov E.A.1, Melnikov V.A.1
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Affiliations:
- North-Western State Medical University named after I.I. Mechnikov
- Issue: Vol 12, No 1 (2020)
- Pages: 79-84
- Section: Case report
- URL: https://journal-vniispk.ru/vszgmu/article/view/19271
- DOI: https://doi.org/10.17816/mechnikov202012179-84
- ID: 19271
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Abstract
Aorto-mesenteric compression of the duodenum (Wilkie syndrome, upper mesenteric artery syndrome) is one of the causes of chronic duodenal obstruction. This condition is caused by compression of the horizontal branch of the duodenum between the abdominal aorta and the superior mesenteric artery, departing from the aorta at an acute angle. Among the causes of this pathological condition, an asthenic physique, pronounced weight loss in a short period of time, and others are distinguished. Currently, the main component of eliminating aorto-mesenteric compression is surgical intervention. Among other surgical methods, the most optimal is duodeno-jejunostomy according to Albrecht–Staveley. However, when this surgical intervention is associated with a high risk of developing a ‘vicious circle’ syndrome. The developed modification of the Albrecht–Staveley operation aims to minimize the risks of developing the ‘vicious circle’ syndrome.
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##article.viewOnOriginalSite##About the authors
Badri V. Sigua
North-Western State Medical University named after I.I. Mechnikov
Email: dr.sigua@gmail.com
ORCID iD: 0000-0002-4556-4913
SPIN-code: 5571-8893
Doctor of Medical Sciences, Professor, Department of Faculty Surgery I.I. Grekova
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015Vyacheslav P. Zemlyanoy
North-Western State Medical University named after I.I. Mechnikov
Email: zeml.spb@mail.ru
ORCID iD: 0000-0003-2329-0023
doctor of medical sciences Professor, Head of the Department of Faculty Surgery. I.I. Grekova, Dean of the Department of Surgery
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015Andrey S. Kachiuri
North-Western State Medical University named after I.I. Mechnikov
Email: Kachiuria@mail.ru
surgeon of the surgical department №2
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015Kirill V. Fetisov
North-Western State Medical University named after I.I. Mechnikov
Email: kirill.fetisov@szgmu.ru
Candidate of Medical Sciences, Associate Professor of the Department of Faculty Surgery named after I.I. Grekova
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015Evgeni A. Zakharov
North-Western State Medical University named after I.I. Mechnikov
Email: dr.zakharovea@gmail.com
ORCID iD: 0000-0002-2070-7420
Clinical intern 2 years of the Department of Faculty Surgery. I.I. Grekova
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015Vyacheslav A. Melnikov
North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: melnikov.szgmu@yandex.ru
ORCID iD: 0000-0002-9723-0392
SPIN-code: 2793-3016
Clinical intern 2 years of the Department of Faculty Surgery. I.I. Grekova
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015References
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