RESUMO
Superior mesenteric artery syndrome (SMAS) is a rare, debilitating clinical condition caused by compression of the third portion of the duodenum by the superior mesenteric artery. Common symptoms include intermittent postprandial abdominal pain, nausea, weight loss, and bilious vomiting. Here we present a case series of three patients with SMAS who were treated with laparoscopic duodenojejunostomy. Patients were females between 12-17 years old. All patients underwent a successful laparoscopic duodenojejunostomy after diagnosis. Mean time to feedings after surgery was 4.00±1.15 days (mean ± SD) and length of stay was 8.6±2.7 days. SMAS remains a complex disease to diagnose and treat. Here we demonstrate that laparoscopic treatment of SMAS is a safe surgical treatment option, and is associated with earlier initiation of enteral feeds and a shorter hospital stay after surgery when compared to medical treatment. This is a safe, effective, and relatively simple procedure for the experienced minimally invasive surgeon [1].
RESUMO
This article describes a qualitative study which explored the factors that influence relatives' decisions about donating kidneys for transplantation within a specific minority culture, i.e., African-American, in the United States. The researchers interviewed caregiving relatives of End Stage Renal Disease patients to learn their ideas and feelings about donation and transplantation. Data analysis revealed six themes; each theme is presented with relevant social work activities.
Assuntos
Atitude Frente a Saúde , Negro ou Afro-Americano/psicologia , Transplante de Rim , Doadores de Tecidos/psicologia , Obtenção de Tecidos e Órgãos/estatística & dados numéricos , Adulto , Idoso , Cuidadores , Feminino , Educação em Saúde , Humanos , Transplante de Rim/psicologia , Masculino , Pessoa de Meia-Idade , Estados UnidosRESUMO
The decision making process undertaken by a sibling who chooses not to donate a kidney to a brother or sister who needs a transplant is the subject of this article. Presented from the perspective of the potential donor client, the paper focuses on the moral and ethical concerns indicated when there are two equal but competing rights involved in the decision. It also addresses pertinent attitudinal dimensions and social and health issues that affect all parties--the client, the marital partner, the family of origin, and the patient's immediate family. The article concludes by addressing "what" and "how" social workers assist clients after the difficult decision not to donate has been made.