{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T20:10:23Z","timestamp":1780344623359,"version":"3.54.1"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T00:00:00Z","timestamp":1630281600000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>A compress\u00e3o vascular da terceira parte do duodeno pela art\u00e9ria mesent\u00e9rica superior resulta no desenvolvimento de uma condi\u00e7\u00e3o incomum de oclus\u00e3o do tr\u00e2nsito duodenal conhecida como s\u00edndrome da art\u00e9ria mesent\u00e9rica superior. Este fen\u00f4meno pode acontecer ap\u00f3s cirurgias de corre\u00e7\u00e3o de deformidades da coluna, e sua taxa de ocorr\u00eancia \u00e9 de \u223c 0,5 a 4,7% dos casos. Isso ocorre em virtude da altera\u00e7\u00e3o do posicionamento do ponto de emerg\u00eancia da art\u00e9ria, decorrente da mudan\u00e7a do comprimento do tronco ap\u00f3s a cirurgia, e est\u00e1 associado a fatores de risco, como baixo \u00edndice de massa corp\u00f3rea e perda ponderal. Os pacientes costumam se apresentar com um quadro de oclus\u00e3o intestinal, com dor abdominal, n\u00e1usea, v\u00f4mito bilioso e saciedade precoce. O reconhecimento desta condi\u00e7\u00e3o \u00e9 importante para instituir o tratamento adequado, que varia do tratamento cl\u00ednico, com sondagem e descompress\u00e3o g\u00e1strica associados a suporte nutricional; \u00e0 necessidade de abordagem cir\u00fargica. Complica\u00e7\u00f5es secund\u00e1rias relacionadas \u00e0 s\u00edndrome da art\u00e9ria mesent\u00e9rica superior incluem: recupera\u00e7\u00e3o cir\u00fargica e nutricional retardadas, problemas com a cicatriza\u00e7\u00e3o e hospitaliza\u00e7\u00e3o prolongada. O objetivo do presente estudo \u00e9 relatar um caso de s\u00edndrome da art\u00e9ria mesent\u00e9rica superior, ocorrido em um paciente com escoliose neuromuscular secund\u00e1ria a sequela de mielite transversa, submetido ao tratamento cir\u00fargico da deformidade da coluna.<\/jats:p>","DOI":"10.1055\/s-0040-1722258","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T22:36:18Z","timestamp":1630362978000},"page":"523-527","source":"Crossref","is-referenced-by-count":4,"title":["S\u00edndrome da art\u00e9ria mesent\u00e9rica superior \u2013 Uma complica\u00e7\u00e3o incomum ap\u00f3s corre\u00e7\u00f5es cir\u00fargicas de deformidades da coluna"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3245-6155","authenticated-orcid":false,"given":"Alex Oliveira de","family":"Araujo","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Rede Sarah de Hospitais de Reabilita\u00e7\u00e3o, Bras\u00edlia, DF, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9160-9246","authenticated-orcid":false,"given":"Rafael Garcia de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Rede Sarah de Hospitais de Reabilita\u00e7\u00e3o, Bras\u00edlia, DF, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4718-4591","authenticated-orcid":false,"given":"Amanda Jord\u00e3o de Castro","family":"Arraes","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia Geral, Rede Sarah de Hospitais de Reabilita\u00e7\u00e3o, Bras\u00edlia, DF, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3718-714X","authenticated-orcid":false,"given":"Eduardo Magalh\u00e3es","family":"Mamare","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia Geral, Rede Sarah de Hospitais de Reabilita\u00e7\u00e3o, Bras\u00edlia, DF, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6533-4528","authenticated-orcid":false,"given":"Ivan Dias","family":"Rocha","sequence":"additional","affiliation":[{"name":"Instituto de Ortopedia e Traumatologia, Hospital das Cl\u00ednicas, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5425-6288","authenticated-orcid":false,"given":"Cicero Ricardo","family":"Gomes","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Rede Sarah de Hospitais de Reabilita\u00e7\u00e3o, Bras\u00edlia, DF, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,8,30]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/1752-1947-2-9","article-title":"Late presentation of superior mesenteric artery syndrome following scoliosis surgery: a case report","volume":"2","author":"A I Tsirikos","year":"2008","journal-title":"J Med Case Reports"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1001\/jama.1962.03050040011003","article-title":"Superior mesenteric artery syndrome","volume":"179","author":"J Rabinovitch","year":"1962","journal-title":"JAMA"},{"issue":"24","key":"ref3","doi-asserted-by":"crossref","first-page":"E528","DOI":"10.1097\/00007632-200212150-00023","article-title":"Superior mesenteric artery syndrome following surgery for scoliosis","volume":"27","author":"M A Crowther","year":"2002","journal-title":"Spine (Phila Pa 1976)"},{"issue":"19","key":"ref4","doi-asserted-by":"crossref","first-page":"2164","DOI":"10.1097\/01.brs.0000181059.83265.b2","article-title":"The superior mesenteric artery syndrome in patients with spinal deformity","volume":"30","author":"H Altiok","year":"2005","journal-title":"Spine (Phila Pa 1976)"},{"issue":"05","key":"ref5","first-page":"67","article-title":"Superior Mesenteric Artery Syndrome after Kyphosis Correction - 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