The So-called Superior Mesenteric Artery Syndrome

Case Report: A Pediatric AIDS Patient with Superior Mesenteric Artery Syndrome

“…8 Although anatomical intestinal obstruction is typically a surgical disease, most patients with SMA syndrome can be adequately treated medically, and nonsurgical management should be attempted whenever possible. 20 Management varies depending on the severity of the condition. In the presence of severe abdominal distention or electrolyte imbalance, these issues are addressed first with gastric decompression by nasogastric tube intubation and fluid resuscitation.…”

Severe Gastric Distension in Seven Patients with Cerebral Palsy

“…Various surgical interventions have been used in an effort to overcome the SMAinduced obstruction. Some physicians argue that SMA is not an important etiological factor and surgery is almost never indicated (Burrington 1976, Shandling 1976, Gondos 1977.…”

Superior mesenteric artery syndrome

“…Section of the suspensory ligament of Treitz has been advocated (Akin et al, 1976), but on its own Burrington (1976) claims this produces an unacceptably high failure rate and advocates division of this ligament with complete mobilisation of the duodenum, enlargement of the opening at the root of the mesentery and passage of the entire jejunum to the right through this opening. He claimed complete cure in all 8 of his patients managed this way, although others have had less satisfactory results (Shandling, 1976). Gastrojejunostomy risks the development of stomal ulceration, and division of the duodenum with re-anastomosis in front of the mesenteric vessels has met with uniform failure (Burrington, 1976).…”