Superior mesenteric artery (SMA) syndrome is the extrinsic compression of the third portion of the duodenum between the SMA and aorta.
It is also called Wilkie syndrome, Cast syndrome...
Clinical presentation can be acute or chronic with gradual, progressive symptoms.
Symptoms are generally consistent with proximal small bowel obstruction, including the following:
Nause...
Correct fluid and electrolyte imbalances.
Decompress obstruction.
Insert nasogastric tube to decompress stomach and proximal duodenum.
Definitive treatment is aimed at correctin...
Delay in diagnosis of SMA syndrome can result in the following:
Electrolyte disturbances
Dehydration and malnutrition
In severe cases, possible gastric pneumatosis, perforation, for...
Agrawal GA, Johnson PT, Fishman EK. Multidetector row CT of superior mesenteric artery syndrome. J Clin Gastroenterol. 2007;41(1):62–65. [View Abstract on OvidInsights]
Altiok ...
Q: When the diagnosis of SMA syndrome is suspected, what are the next steps in management?
A: The general sequence is to confirm the diagnosis with an imaging study such as an upper GI contrast stu...
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