Megabulbus in endoscopy; suspect for superior mesenteric artery syndrome in children

Superior Mesenteric Artery Syndrome- Process of Diagnosis and Treatment of Problematic Cases

“…Failure of contrast passage beyond the third part of duodenum and the aortomesenteric angle between 9º and 22º are the diagnostic factors. Endoscopic evaluations shows megaduodenum in Wilkie syndrome (8) . In adult patients non-operative therapy is often prolonged the hospitalization peridon with low success rate varied between 14 and 71% (9) .…”