A comprehensive review of superior mesenteric artery syndrome

Mandarry, Muhammad Tasleem; Zhao, Lili; Zhang, C.; Wei, Z. Q.

doi:10.1007/s10353-010-0561-y

Cited by 74 publications

(163 citation statements)

References 45 publications

(96 reference statements)

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“…1,4,6 The disease occurs more often in females than males, at a ratio of 3:2, and often affects younger individuals between the ages of 10 and 39 years. Normally, the SMA forms an approximately 45°angle (range, 38°-65°) as it comes off the aorta.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Management of Duodenal Obstruction Resulting From Superior Mesenteric Artery Syndrome

et al. 2014

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Laparoscopic duodenojejunostomy is safe and effective and should be considered the optimal treatment for patients presenting with duodenal obstruction from SMA syndrome. Advances in minimally invasive surgery have demonstrated the safety and low morbidity of laparoscopically created enteric anastomoses. The shorter hospital stay, low morbidity, and high success of laparoscopic enteric bypass make this approach favorable to traditional open techniques.

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Section: Discussionmentioning

confidence: 99%

“…2 Open duodenojejunostomy remains the standard operation for SMA syndrome. [1][2][3][4][5] A minimally invasive approach to treating SMA syndrome, developed from bariatric surgery techniques, now offers an alternative to traditional laparotomy.…”

mentioning

confidence: 99%

Laparoscopic Management of Duodenal Obstruction Resulting From Superior Mesenteric Artery Syndrome

et al. 2014

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“…Decreasing the aortomesenteric angle to less than 25° will decrease the aortomesenteric distance to less than 10 mm. When this condition occurs, the third portion of the duodenum is compressed and SMA syndrome symptoms ensue [2,3].…”

Section: Discussionmentioning

confidence: 99%

“…Strong procedure involves division of the ligament of Treitz [3], and allows caudal duodenal mobilization outside the aortomesenteric angle. Although appealing because bowel integrity is not compromised by an anastomosis, the drawback of the Strong procedure is a 25% failure rate resulting from tethering of the inferior pancreaticoduodenal artery [2]. Bypass of the third part of the duodenum by the creation of a duodenojejunostomy together with division of the ligament of Treitz has been the operation of choice.…”

Section: Treatmentmentioning

confidence: 99%

Superior Mesenteric Artery Syndrome: A High Index of Suspicion

Rahman

2018

J Med Cases

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Duodenal obstruction by compression from the superior mesenteric artery (SMA) can be managed using minimally invasive techniques. We will discuss a presentation of a 46-year-old female with abdominal pain and vomiting on background of recent weight loss. Diagnosis was made with CT of abdomen and barium follow-through. She was treated with surgical intervention as initial conservative management failed. Surgery is required when conservative management fails. Though Strong procedure is easy and effective for some patients, duodenojejunostomy is the treatment of choice. Advances in minimally invasive surgery have demonstrated the safety and low morbidity of laparoscopically created enteric anastomoses.

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“…Inicialmente, el paciente sería candidato a nutrición parenteral total mientras tolera la nutrición enteral, que sigue siendo la opción más acertada. En algunos casos se opta por hiperalimentar al paciente como estrategia para aumentar la masa de la grasa periduodenal, aliviando así los síntomas 18 . La intervención quirúrgica está indicada en casos en los que el manejo conservador es inefectivo 1 .…”

Section: Tratamientounclassified