Superior mesenteric artery syndrome leading to reversible mucosal gangrene

Uemura, Satomi; Suzuki, Kei; Katayama, Naoyuki; Imai, Hiroshi

doi:10.1002/ams2.283

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Upon presentation of a case of Wilkie’s syndrome, complicated by gastric necrosis, it is crucial to differentiate between mucosal and transmural necrosis. Multiple case reports have been published showing a possible conservative treatment in patients where necrosis is confined to the gastric mucosa, without transmural extension [ 7 , 8 ]. A CT scan can reveal signs of gastric ischemia or necrosis, demonstrated by pneumatosis of the gastric wall, portal venous air, or free air in case of perforation.…”

Section: Discussionmentioning

confidence: 99%

Single Anastomosis Sleeve Jejunal Bypass in Acute Mesenteric Artery Syndrome: A Case Report

Talboom,

Van Dessel

2024

Cureus

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Superior mesenteric artery syndrome is a rare vascular compression syndrome in which the duodenum is compressed between the aorta and the overlying superior mesenteric artery. This condition is often chronic and secondary to cachexia. It can trigger further weight loss due to the subsequent proximal intestinal obstruction, causing a positive feedback loop. We report a case of acute presentation of superior mesenteric artery syndrome, complicated by gastric necrosis and treated surgically using the principles of a novel bariatric procedure.

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Section: Discussionmentioning

confidence: 99%

Single Anastomosis Sleeve Jejunal Bypass in Acute Mesenteric Artery Syndrome: A Case Report

Talboom,

Van Dessel

2024

Cureus

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Superior mesenteric artery syndrome: Diagnosis and management

Oka¹,

Awoniyi²,

Hasegawa³

et al. 2023

World J Clin Cases

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Superior mesenteric artery (SMA) syndrome (also known as Wilkie's syndrome, cast syndrome, or aorto-mesenteric compass syndrome) is an obstruction of the duodenum caused by extrinsic compression between the SMA and the aorta. The median age of patients is 23 years old (range 0-91 years old) and predominant in females over males with a ratio of 3:2. The symptoms are variable, consisting of postprandial abdominal pain, nausea and vomiting, early satiety, anorexia, and weight loss and can mimic anorexia nervosa or functional dyspepsia. Because recurrent vomiting leads to aspiration pneumonia or respiratory depression via metabolic alkalosis, early diagnosis is required. The useful diagnostic modalities are computed tomography as a standard tool and ultrasonography, which has advantages in safety and capability of real-time assessments of SMA mobility and duodenum passage. The initial treatment is usually conservative, including postural change, gastroduodenal decompression, and nutrient management (success rates: 70%-80%). If conservative therapy fails, surgical treatment ( i.e ., laparoscopic duodenojejunostomy) is recommended (success rates: 80%-100%).

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Superior mesenteric artery syndrome leading to reversible mucosal gangrene

Cited by 2 publications

References 5 publications

Single Anastomosis Sleeve Jejunal Bypass in Acute Mesenteric Artery Syndrome: A Case Report

Single Anastomosis Sleeve Jejunal Bypass in Acute Mesenteric Artery Syndrome: A Case Report

Superior mesenteric artery syndrome: Diagnosis and management

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