Superior mesenteric artery syndrome treated successfully by endoscopy-assisted jejunal feeding tube placement

Jongkuk Kim; Songsoo Yang; Yeong Cheol Im; Inkyu Park

doi:10.1136/bcr-2021-245104

Superior mesenteric artery syndrome treated successfully by endoscopy-assisted jejunal feeding tube placement

BMJ Case Rep. 2021 Nov 16;14(11):e245104. doi: 10.1136/bcr-2021-245104.

Authors

Jongkuk Kim¹, Songsoo Yang², Yeong Cheol Im¹, Inkyu Park¹

Affiliations

¹ Department of General Surgery, University of Ulsan College of Medicine and Ulsan University Hospital, Ulsan, Republic of Korea.
² Department of General Surgery, University of Ulsan College of Medicine and Ulsan University Hospital, Ulsan, Republic of Korea ssyang913@gmail.com.

Abstract

We report the case of a 31-year-old man with superior mesenteric artery syndrome after reoperation due to postoperative complications from rectal cancer. Although initial total parenteral nutrition (TPN) therapy failed, he underwent endoscopy-assisted feeding tube placement without complications instead of surgery. After 2 weeks of dual feeding (enteral feeding and TPN), he improved, gaining 6 kg; and an oral diet was advanced.

Keywords: endoscopy; gastrointestinal system; malnutrition; parenteral / enteral feeding; small intestine.

Publication types

Case Reports

MeSH terms

Adult
Endoscopy
Enteral Nutrition
Humans
Intubation, Gastrointestinal
Jejunum / surgery
Male
Superior Mesenteric Artery Syndrome* / diagnostic imaging
Superior Mesenteric Artery Syndrome* / surgery