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      KCI등재 SCI SCIE SCOPUS

      Optimal Duration of Medical Treatment in Superior Mesenteric Artery Syndrome in Children

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      https://www.riss.kr/link?id=A104768008

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      다국어 초록 (Multilingual Abstract)

      The aim of this study was to investigate the outcome, and optimal duration of medical treatment in children with superior mesenteric artery syndrome (SMAS). Eighteen children with SMAS were retrospectively studied. The data reviewed included demographics,presenting symptoms, co-morbid conditions, clinical courses, nutritional status,treatments, and outcomes. The three most common symptoms were postprandial discomfort (67.7%), abdominal pain (61.1%), and early satiety (50%). The median duration of symptoms before diagnosis was 68 days. The most common co-morbid condition was weight loss (50%), followed by growth spurt (22.2%) and bile reflux gastropathy (16.7%). Body mass index (BMI) was normal in 72.2% of the patients.

      Medical management was successful in 13 patients (72.2%). The median duration of treatment was 45 days. Nine patients (50%) had good outcomes without recurrence, 5patients (27.8%) had moderate outcomes, and 4 patients (22.2%) had poor outcomes. A time limit of > 6 weeks for the duration of medical management tended to be associated with worse outcomes (P = 0.018). SMAS often developed in patients with normal BMI or no weight loss. Medical treatment has a high success rate, and children with SMAS should be treated medically for at least 6 weeks before surgical treatment is considered.
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      The aim of this study was to investigate the outcome, and optimal duration of medical treatment in children with superior mesenteric artery syndrome (SMAS). Eighteen children with SMAS were retrospectively studied. The data reviewed included demograph...

      The aim of this study was to investigate the outcome, and optimal duration of medical treatment in children with superior mesenteric artery syndrome (SMAS). Eighteen children with SMAS were retrospectively studied. The data reviewed included demographics,presenting symptoms, co-morbid conditions, clinical courses, nutritional status,treatments, and outcomes. The three most common symptoms were postprandial discomfort (67.7%), abdominal pain (61.1%), and early satiety (50%). The median duration of symptoms before diagnosis was 68 days. The most common co-morbid condition was weight loss (50%), followed by growth spurt (22.2%) and bile reflux gastropathy (16.7%). Body mass index (BMI) was normal in 72.2% of the patients.

      Medical management was successful in 13 patients (72.2%). The median duration of treatment was 45 days. Nine patients (50%) had good outcomes without recurrence, 5patients (27.8%) had moderate outcomes, and 4 patients (22.2%) had poor outcomes. A time limit of > 6 weeks for the duration of medical management tended to be associated with worse outcomes (P = 0.018). SMAS often developed in patients with normal BMI or no weight loss. Medical treatment has a high success rate, and children with SMAS should be treated medically for at least 6 weeks before surgical treatment is considered.

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      참고문헌 (Reference)

      1 이천우, "섭식장애에 의해 발생한 상장간막 동맥 증후군 1예" 대한소화기학회 58 (58): 280-283, 2011

      2 Verhoef PA, "Unique challenges for appropriate management of a 16-year-old girl with superior mesenteric artery syndrome as a result of anorexia nervosa: a case report" 3 : 127-, 2009

      3 Neri S, "Ultrasound imaging in diagnosis of superior mesenteric artery syndrome" 257 : 346-351, 2005

      4 World Health Organisation, "Training course on child growth assessment" WHO 2008

      5 Altiok H, "The superior mesenteric artery syndrome in patients with spinal deformity" 30 : 2164-2170, 2005

      6 Adson DE, "The superior mesenteric artery syndrome and acute gastric dilatation in eating disorders: a report of two cases and a review of the literature" 21 : 103-114, 1997

      7 Lee TH, "Superior mesenteric artery syndrome: where do we stand today?" 16 : 2203-2211, 2012

      8 Hines JR, "Superior mesenteric artery syndrome: diagnostic criteria and therapeutic approaches" 148 : 630-632, 1984

      9 Merrett ND, "Superior mesenteric artery syndrome: diagnosis and treatment strategies" 13 : 287-292, 2009

      10 Lippl F, "Superior mesenteric artery syndrome: diagnosis and treatment from the gastroenterologist’s view" 37 : 640-643, 2002

      1 이천우, "섭식장애에 의해 발생한 상장간막 동맥 증후군 1예" 대한소화기학회 58 (58): 280-283, 2011

      2 Verhoef PA, "Unique challenges for appropriate management of a 16-year-old girl with superior mesenteric artery syndrome as a result of anorexia nervosa: a case report" 3 : 127-, 2009

      3 Neri S, "Ultrasound imaging in diagnosis of superior mesenteric artery syndrome" 257 : 346-351, 2005

      4 World Health Organisation, "Training course on child growth assessment" WHO 2008

      5 Altiok H, "The superior mesenteric artery syndrome in patients with spinal deformity" 30 : 2164-2170, 2005

      6 Adson DE, "The superior mesenteric artery syndrome and acute gastric dilatation in eating disorders: a report of two cases and a review of the literature" 21 : 103-114, 1997

      7 Lee TH, "Superior mesenteric artery syndrome: where do we stand today?" 16 : 2203-2211, 2012

      8 Hines JR, "Superior mesenteric artery syndrome: diagnostic criteria and therapeutic approaches" 148 : 630-632, 1984

      9 Merrett ND, "Superior mesenteric artery syndrome: diagnosis and treatment strategies" 13 : 287-292, 2009

      10 Lippl F, "Superior mesenteric artery syndrome: diagnosis and treatment from the gastroenterologist’s view" 37 : 640-643, 2002

      11 Unal B, "Superior mesenteric artery syndrome: CT and ultrasonography findings" 11 : 90-95, 2005

      12 Biank V, "Superior mesenteric artery syndrome in children: a 20-year experience" 42 : 522-525, 2006

      13 Ahmed AR, "Superior mesenteric artery syndrome" 73 : 776-778, 1997

      14 Lee CS, "Superior mesenteric artery compression syndrome" 70 : 141-150, 1978

      15 Welsch T, "Recalling superior mesenteric artery syndrome" 24 : 149-156, 2007

      16 Arthurs OJ, "Nutcracker and SMA syndromes: what is the normal SMA angle in children?" 81 : 854-861, 2012

      17 Agrawal GA, "Multidetector row CT of superior mesenteric artery syndrome" 41 : 62-65, 2007

      18 Bermas H, "Laparoscopic management of superior mesenteric artery syndrome" 7 : 151-153, 2003

      19 Morris TC, "Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome: how I do it" 13 : 1870-1873, 2009

      20 Li J, "Laparoscopic Roux-en-Y duodenojejunal bypass for superior mesenteric artery syndrome: case reports and review of the literature" 21 : e344-e347, 2011

      21 Ozbulbul NI, "Evaluation of the effect of visceral fat area on the distance and angle between the superior mesenteric artery and the aorta" 31 : 545-549, 2009

      22 Jordaan GP, "Eating disorder and superior mesenteric artery syndrome" 39 : 1211-, 2000

      23 Ha CD, "Duodenal derotation as an effective treatment of superior mesenteric artery syndrome: a thirty-three year experience" 74 : 644-653, 2008

      24 Shiu JR, "Clinical and nutritional outcomes in children with idiopathic superior mesenteric artery syndrome" 51 : 177-182, 2010

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2005-01-01 평가 SCI 등재 (등재유지) KCI등재
      2002-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      1999-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.48 0.37 1.06
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.85 0.75 0.691 0.11
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