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References

DOI: 10.12998/wjcc.v11.i15.3369

• The initial treatment is usually managed conservatively by decompression of dilated stomach and duodenum by postural change and/or nasal gastric tube suction.
• Positioning the patient in the left lateral or sitting position should be helpful.
• In addition to gastric tube suction, intravenous metoclopramide can enhance gastrointestinal motility and help decompression.
• After decompression therapy, gaining weight to increase adipose tissue between SMA and aorta should be considered.
• Nasal gastric feeding is effective, but the jejunal tube is more ideal while endoscopic assistant should be considered.
• Total parenteral nutrition is a useful option for initial nutrient treatment and if the intestinal feedings are impossible.