title: Duodenal stenosis resulting from a preduodenal portal vein and an operation for scoliosis.
abstract: A preduodenal portal vein (PDPV) is known to be a rare cause of duodenal stenosis. We treated a 22-year-old male patient with malnutrition as a result of PDPV and a previously performed operation for scoliosis, who showed an improvement in quality of life after being treated with a combination of nutritional support and surgery. The patient with PDPV had been admitted to our department with duodenal stenosis, ranging from the first to third portions. He had suffered from vomiting since 1 year of age, and he developed malnutrition during the last 6-mo period after orthopedic surgery for scoliosis. The stenosis was related to both the PDPV and the previously performed operation for scoliosis. After receiving nutritional support for 6 mo, a gastrojejunostomy with Braun's anastomosis for the first portion and a duodenojejunostomy for the second and third portions were performed. The postoperative course was almost uneventful. Three months later, he was discharged and able to attend university. In patients with widespread duodenal stenosis, there may be a complicated cause, such as PDPV and duodenal stretching induced by previous spinal surgery.
authors.affiliation: Department of Pediatric Surgery, Reproductive and Developmental Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. kmasu@pedsurg.med.kyushu-u.ac.jp
authors.forename: Kouji
authors.initials: K
authors.lastname: Masumoto
authors.forename: Risa
authors.initials: R
authors.lastname: Teshiba
authors.forename: Genshiro
authors.initials: G
authors.lastname: Esumi
authors.forename: Kouji
authors.initials: K
authors.lastname: Nagata
authors.forename: Takanori
authors.initials: T
authors.lastname: Nakatsuji
authors.forename: Yuko
authors.initials: Y
authors.lastname: Nishimoto
authors.forename: Sadako
authors.initials: S
authors.lastname: Yamaguchi
authors.forename: Kenzo
authors.initials: K
authors.lastname: Sumitomo
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Taguchi
mesh_terms: D000714:Anastomosis, Surgical; D003251:Constriction, Pathologic / Q000209:etiology* / Q000601:surgery; D004380:Duodenal Obstruction / Q000209:etiology* / Q000601:surgery; D004386:Duodenum / Q000601:surgery; D006801:Humans; D008297:Male; D009752:Nutritional Status; D018529:Nutritional Support; D011169:Portal Vein / Q000002:abnormalities*; D012600:Scoliosis / Q000601:surgery*; D055815:Young Adult
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