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Norman W. Thompson, MD; James C. Stanley, MD

AMA Arch Surg. 1974;108(5):674-679.

Abstract
The exact role of vascular compression of the duodenum to peptic ulcer disease remains unknown, although a review of the literature indicates that the association is more than coincidental. Three patients who had operations for peptic ulcer incurred severe gastric retention. Detailed studies disclosed compression of the duodenum beneath the superior mesenteric vessels. Relief of symptoms followed reoperation in each patient. Apparent gastric atony after vagotomy and pyloroplasty may be an occasional manifestation of vascular compression of the duodenum.

Author Affiliations
Ann Arbor, Mich

From the Department of Surgery, Section of General Surgery, University of Michigan Medical Center, Ann Arbor.

Footnotes
Accepted for publication Sept 25, 1973.

Reprint requests to Room 7554, Outpatient Bldg, University Hospital, 1405 E Ann St, Ann Arbor, MI 48104 (Dr. Thompson).

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