Superior Mesenteric Artery Syndrome in Patient with Amyotrophic Lateral Sclerosis

J Korean Neurol Assoc > Volume 32(4); 2014 > Article

Journal of the Korean Neurological Association 2014;32(4): 262-264.

근위축측삭경화증에서 발생한 위창자간막동맥증후군

오정근, 오성일 a 이상곤 이석준 이석호 오기욱 최원준 김승현

한양대학교 의과대학 신경과학교실, 인제대학교 의과대학 부산백병원 신경과학교실 a

Superior Mesenteric Artery Syndrome in Patient with Amyotrophic Lateral Sclerosis

Jung-Geun Oh

Department of Neurology, College of Medicine, Hanyang University, Seoul, Korea Department of Neurology a , Busan Paik Hospital, Inje University College of Medicine, Busan, Korea

Abstract

Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disorder that causes progressive muscular weakness, severe weight loss, and ultimately death. Gastrostomy or nasogastric tube is beneficial for ALS patients with severe weight loss and dysphagia. However, the development of superior mesenteric artery (SMA) syndrome in ALS patients when the enteral feeding time is delayed is rarely reported. We report herein the first case of SMA syndrome in a Korean ALS patient who showed improvement after percutaneous endoscopic gastrojejunostomy(PEGJ). Key Words: Superior mesenteric artery syndrome, Amyotrophic lateral sclerosis, Gastrojejunostomy