[邓巴综合症的诊断与治疗]。

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY
Schmerz Pub Date : 2024-02-01 Epub Date: 2023-11-21 DOI:10.1007/s00482-023-00766-x
Anna Woestemeier, Alexander Semaan, Jörg C Kalff, Philipp Lingohr
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引用次数: 0

摘要

罕见的邓巴综合征或内侧弓状韧带综合征(MALS)被定义为内侧弓状韧带压迫腹腔干和/或神经节。它通常在患者长期遭受痛苦后被诊断出来,其特征是间歇性的食物相关疼痛,恶心和无法解释的体重减轻。在胃镜、结肠镜、CT或MRI排除上述症状的其他原因后,诊断的金标准是动态彩色编码双超声,可辅以CT或MR血管造影。首选的治疗方法是腹腔镜下切开腹腔干弓形韧带,尽管在术后症状持续或复发性狭窄的情况下可以进行经皮腔内血管成形术(PTA)和支架植入。由于高达50%的病例术后症状持续存在,因此在指定的中心严格适应证和完全诊断对成功治疗至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

[Diagnosis and treatment of Dunbar syndrome].

[Diagnosis and treatment of Dunbar syndrome].

The rare Dunbar syndrome or medial arcuate ligament syndrome (MALS) is defined as compression of the celiac trunk and/or ganglion by the medial arcuate ligament. It is often diagnosed after patients have suffered for a long time and is characterized by intermittent food-related pain, nausea, and unexplained weight loss. After exclusion of other causes of the above symptoms by gastroscopy, colonoscopy, CT, or MRI, the gold standard for diagnosis is dynamic color-coded duplex sonography, which may be supplemented by CT or MR angiography. The treatment of choice is a laparoscopic division of the arcuate ligament at the celiac trunk, although percutaneous transluminal angioplasty (PTA) with stent implantation may be performed in cases of postoperative persistence of symptoms or recurrent stenosis. Since symptoms persist postoperatively in up to 50% of cases, strict indication and complete diagnosis in designated centers are of great importance for successful treatment.

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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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