Correct dehydration, electrolyte abnormalities, malnutrition
Primary goal is to correct the underlying cause, typically regain lost weight
Acute management:
Adjusting body position to alleviate symptoms, such as knee to chest or lying on left side
Nasogastric tube for decompression
Some patients may require a feeding tube distal to the obstruction or parenteral nutrition
Surgery sometimes indicated
Strong's procedure: duodenum moved to the right of the SMA
Gastrojejunostomy, duodenojejunostomy
Adjusting body position to alleviate symptoms, such as knee to chest or lying on left side
Nasogastric tube for decompression
Strong's procedure: duodenum moved to the right of the SMA
Gastrojejunostomy, duodenojejunostomy
Superior mesenteric artery syndrome
See Abdominal Pain
Mesenteric vein thrombosis
See Nausea and vomiting
Splenic artery aneurysm
Splenic infarction
Abdominal aortic aneurysm
Epiploic appendagitis