scholarly journals Superior Mesenteric Artery Syndrome: A Single-institution Experience

2021 ◽  
Vol 3 (1) ◽  
pp. FIRST
Author(s):  
Chun-huang Chen ◽  
Victor T.K. Chen ◽  
Shao-Jiun Chou ◽  
Hsiang-Chun Jan ◽  
Tzu-Hung Chen ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Surgical Intervention ◽  
Water Soluble ◽  
Superior Mesenteric Artery Syndrome ◽  
Electrolyte Imbalance ◽  
Surgical Approaches ◽  
Severe Malnutrition ◽  
Mini Laparotomy

Background: Superior mesenteric artery syndrome (SMAS) is a rare disease in adult. SMAS is characterized by acute, or, more commonly, chronic nonspecific symptoms due to duodenal obstruction and severe malnutrition with reduced arterio-mesenteric angle and distance. Surgical treatment may be necessary in most cases with chronic symptoms or when conservative treatment fails in SMAS. Methods: A retrospective chart review was performed on patients who underwent operation for SMAS from January 2008 to August 2020 in Cardinal Tien Hospital. Patients’ clinical presentations, surgical intervention, and outcomes. Results: Data from a total of 14 patients diagnosed with SMAS were analyzed, of which seven were diagnosed with SMAS by abdominal computed tomography and upper gastrointestinal series with water-soluble barium contrast. Six of the confirmed cases underwent surgery, namely, gastric decompression using a nasogastric tube, and correction of electrolyte imbalance. The nasoduodenal tube was placed through the obstructed duodenum to provide a high-nutrient fluid supplement. After conservative treatment failure, the patients underwent surgery. Of the six patients, four underwent duodenojejunostomy, one underwent a mini-laparotomy duodenojejunostomy bypass, and the last one underwent Roux-en-Y duodenojejunal bypass with duodenal feeding tube insertion. Conclusion: Patients with SMAS should initially be treated conservative. Surgical intervention should be considered in patients in whom conservative treatments were not effective. Complete resolution of all symptoms may not always be guaranteed after surgical intervention. Laparoscopy is currently widely used. In well-selected patients, minimally invasive or mini-laparotomy duodenojejunostomy is a safe and effective treatment for SMAS. The main advantages of mini-laparotomy duodenojejunostomy over other surgical approaches include half-length surgical incision and a shorter operative time. Duodenojejunostomy is rapidly becoming the standard procedure of this condition, and it has excellent outcomes comparable with those of open surgery.

scholarly journals Superior Mesenteric Artery Syndrome: An Infrequent Complication of Scoliosis Surgery

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Metin Keskin ◽  
Turgut Akgül ◽  
Adem Bayraktar ◽  
Fatih Dikici ◽  
Emre Balık
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Intestinal Obstruction ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Rare Condition ◽  
Superior Mesenteric Artery Syndrome ◽  
Scoliosis Surgery ◽  
Small Intestinal Obstruction ◽  
Small Intestinal

Superior mesenteric artery syndrome is a rare condition that causes a proximal small intestinal obstruction due to contraction of the angle between the superior mesenteric artery and the aorta. Scoliosis surgery is one of the 15 reasons for superior mesenteric artery syndrome, which can present with acute or chronic manifestations. Although conservative treatment is usually possible, surgical treatment is required in certain cases that cannot be treated using conservative methods. In this paper, we describe a patient who developed superior mesenteric artery syndrome after scoliosis surgery and was treated with duodenojejunostomy due to failure and complications of conservative treatment.

Severe malnutrition causing superior mesenteric artery syndrome in an adolescent with Triple A syndrome

2016 ◽  
Vol 29 (10) ◽  
Author(s):  
Christy Foster ◽  
Abha Choudhary
Keyword(s):  
Superior Mesenteric Artery ◽  
Adrenal Insufficiency ◽  
Mesenteric Artery ◽  
Delayed Diagnosis ◽  
Superior Mesenteric Artery Syndrome ◽  
Adolescent Male ◽  
Severe Malnutrition ◽  
Triple A Syndrome ◽  
Allgrove Syndrome ◽  
Sma Syndrome

AbstractTriple A syndrome, formerly known as Allgrove syndrome (AS), is characterized by achalasia, alacrima and adrenal insufficiency. Here we report an adolescent male with adrenal insufficiency who developed severe malnutrition secondary to a delayed diagnosis of achalasia. The severe malnutrition in our patient led to superior mesenteric artery (SMA) obstruction syndrome. Severe malnutrition to the point of SMA syndrome has not been previously described in the literature in Triple A syndrome.

Superior Mesenteric Artery Syndrome: An Uncommon Cause of Abdominal Pain Mimicking Gastroenteritis

2008 ◽  
Vol 15 (4) ◽  
pp. 235-239 ◽  
Author(s):  
CM Lo ◽  
HK Lau ◽  
SK Kei
Keyword(s):  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Surgical Intervention ◽  
Epigastric Pain ◽  
Superior Mesenteric Artery Syndrome ◽  
Computed Tomography Scan ◽  
Gastrointestinal Series ◽  
Upper Gastrointestinal ◽  
Tomography Scan

Abdominal pain and vomiting are frequently encountered in the emergency department. We report a 54-year-old man with an uncommon cause of intestinal obstruction – superior mesenteric artery syndrome – who presented with epigastric pain and vomiting. Diagnosis is clinical with radiological confirmation by upper gastrointestinal series or computed tomography scan. Most patients respond to conservative and supportive treatment. A minority may need surgical intervention.

scholarly journals Rare bowel emphysema with superior mesenteric artery syndrome after surgery

2020 ◽  
Vol 102 (2) ◽  
pp. e26-e28
Author(s):  
Y Furuya ◽  
T Wakahara ◽  
A Furuya ◽  
H Yanagie ◽  
H Yasuhara
Keyword(s):  
Computed Tomography ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Duodenal Obstruction ◽  
Surgical Intervention ◽  
Superior Mesenteric Artery Syndrome ◽  
Serious Infection ◽  
Old Japanese ◽  
Precise Diagnosis ◽  
Gastric Decompression

Superior mesenteric artery syndrome, a rare cause of duodenal obstruction, occasionally requires surgery. Bowel emphysema might also require surgery and might be an ominous sign of a serious condition. We report the case of a 69-year-old Japanese man with left pneumothorax who was also diagnosed as having bowel emphysema and superior mesenteric artery syndrome simultaneously without serious infection after surgery for the pneumothorax. Following gastric decompression via a nasogastric tube, his general condition resolved quickly with no need for surgical intervention. Prompt and precise diagnosis by computed tomography and both adequate judgment and treatment can avoid surgery in such cases.

scholarly journals Superior Mesenteric Artery Syndrome due to a Vertebral Hemangioma and Postpartum Osteoporosis following Treatment

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Mehmet Elmadag ◽  
Yunus Güzel ◽  
Gokcer Uzer ◽  
İbrahim Tuncay
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Burst Fracture ◽  
Compression Fracture ◽  
Superior Mesenteric Artery Syndrome ◽  
Electrolyte Imbalance ◽  
Kyphotic Deformity ◽  
Vertebral Hemangioma ◽  
Oral Nutrition ◽  
In Pregnancy

In pregnancy, advanced vertebral hemangiomas may be seen, and these require treatment. The case reported here is of a 35-year-old female in the 32nd week of pregnancy who was admitted to the orthopaedics clinic with a history of backache and difficulty walking. A burst fracture of L1 associated with a vertebral hemangioma was identified with an L3 compression fracture secondary to osteoporosis. The local kyphosis angle between T12 and L2 was 27°. Kyphotic deformity was corrected and postoperatively, the measured T12–L2 local kyphotic angle was 9°. Twelve hours postoperatively, oral nutrition was allowed, but she developed nausea and vomiting and twenty-four hours postoperatively, an electrolyte imbalance developed. Postoperatively, the patient was diagnosed with superior mesenteric artery syndrome. To the best of our knowledge, this is the first reported case of superior mesenteric artery syndrome, which occurred following the correction of a kyphotic deformity that had developed secondary to an advanced hemangioma in pregnancy.

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