Superior Mesenteric Artery Syndrome Following Scoliosis Surgery: A Systematic Review of Case Reports

Fan, Yonggang; Cai, Mandi; Wang, Jie; Xia, Lei

doi:10.1016/j.avsg.2021.03.032

Cited by 6 publications

(8 citation statements)

References 35 publications

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“…Briefly, this artery runs in its inferior course anteriorly to the uncinate process of the pancreas and to the third part of the duodenum, posteriorly located to the splenic vein, the body of the pancreas and the left renal vein, which separates it from the abdominal aorta. The superior mesenteric artery also passes anteriorly to the inferior vena cava and also to the right ureter and the right psoas major muscle, alongside the small intestine mesentery (Lippl et al, 2002;Ganss et al, 2019;Fan et al, 2021).…”

Section: Resultsmentioning

confidence: 99%

“…Table 2-Predisposing conditions for the development of superior mesenteric artery syndrome Fan et al, 2021). In all patients, the following features were recognized on imaging studies: (a) findings suggestive of SMAS in Barium Swallow; (b) diagnostic aortomesenteric angle and distance on CT/MR angiography.…”

Section: Superior Mesenteric Artery Syndrome: a Systematic Reviewmentioning

confidence: 99%

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Superior Mesenteric artery syndrome

Guerra¹,

Neto²,

Freitas³

et al. 2023

Int J Innov Educ Res

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Superior mesenteric artery syndrome (SAMS) or Wilkie syndrome is a rare clinical condition, the incidence of superior mesenteric syndrome reported in some previous studies can range from 0.013% to 0.78% but the true incidence is unknown. This syndrome is characterized by extrinsic constriction on the anterior surface of the duodenum by the superior mesenteric artery and the abdominal aorta, leading to the formation of an aortomesenteric angle < 25°, and a decrease in the normal distance between the aorta and the mesenteric artery to 2-8 mm. Objective: Therefore, the objective of the present study is to carry out a systematic review of the literature to describe the superior mesenteric artery syndrome. Methodology: This study is a systematic literature review, with a qualitative approach, with interpretation and analysis of the elements obtained. The research was carried out from the survey of scientific articles found in the main search platforms for scientific articles: ScienceDirect, PubMed, SciELO, Bireme, from 2017 to 2022. Results and discussion: For this review 15 articles were selected as the studies showed that the symptoms of Wilkie syndrome are confusing, epigastric pain, vomiting, heartburn may be signs of other gastrointestinal pathologies such as gastroesophageal reflux, as presented in the literature. In chronic patients, non-operative therapy is often prolonged due to the long period of hospitalization, with a low success rate ranging from 14 to 71%. Strong's operation, gastrojejunostomy, and duodenujejunostomy are treatment options for Wilkie syndrome. Final considerations: The diagnosis of Wilkie syndrome often depends on a high index of clinical exclusion of other diseases, resulting in ineffective symptomatic symptoms. For this reason, a detailed history should be taken and after careful endoscopic evaluation, CT images should be analyzed carefully and surgery should be considered in cases of longer duration with nutritional support, always emphasizing the importance of individual assessment of each patient.

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Section: Resultsmentioning

confidence: 99%

Section: Superior Mesenteric Artery Syndrome: a Systematic Reviewmentioning

confidence: 99%

Superior Mesenteric artery syndrome

Guerra¹,

Neto²,

Freitas³

et al. 2023

Int J Innov Educ Res

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“…Weight loss is a common finding among SMAS patients, especially in cases with rapid weight loss and changes in body habitus. Thus, SMAS is associated with patients suffering from eating disorders such as anorexia nervosa and bulimia nervosa, as well as with biological conditions including thyrotoxicosis and cancer 4 5 21–23. Further, it is also possible that SMAS is misdiagnosed in patients with bulimia nervosa due to similarities in presentation 24.…”

Section: Discussionmentioning

confidence: 99%

“…The resulting impingement of the duodenum by the SMA effectively obstructs peristaltic flow, resulting in proximal duodenal and gastric distention. The presentation of SMAS may be chronic or acute, depending on the degree of duodenal obstruction 5…”

Section: Introductionmentioning

confidence: 99%

“…SMAS has been observed with increased frequency in patients with eating disorders such as anorexia and bulimia, as well as in other cases of rapid weight loss—such as thyrotoxicosis 1 6 7. There have also been many cases of SMAS in patients who have recently undergone surgical intervention for spinal deformity—resulting in a decreased aortomesenteric angle and inducing duodenal constriction 5. Additionally, SMAS has been reported in patients after abdominal trauma and body composition changes.…”

Section: Introductionmentioning

confidence: 99%

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Acute superior mesenteric artery syndrome complicated by severe gastric, pancreatic and renal ischaemia

Moore,

Eldredge,

Russell

2024

BMJ Case Rep

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Superior mesenteric artery syndrome (SMAS) is a rare and potentially life-threatening cause of small bowel obstruction in which the superior mesenteric artery impinges on the third portion of the duodenum. SMAS is typically encountered in patients with low body fat and a history of rapid weight loss and is often diagnosed as a chronic or subacute condition. Here, we describe a case of a healthy adolescent boy without typical SMAS prodromal symptoms presenting with a severe, hyperacute proximal small bowel obstruction due to SMAS. Complications arising from massive gastric and duodenal distension, including gastric, pancreatic and renal ischaemia, necessitated emergent surgical intervention consisting of the duodenojejunostomy bypass with partial gastric resection. The patient recovered without significant lasting consequences.

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New Surgical Approaches to Scoliosis Repair in Pediatric Patients—Implications for Anesthetic Management

Ferschl,

Shibata,

Wong

2024

Curr Anesthesiol Rep

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Purpose of Review The treatment of pediatric scoliosis has evolved over time. Newer treatment modalities provide alternative options for patients that optimize outcomes. In this manuscript, we will review pediatric scoliosis and focus on the anesthetic management techniques for its surgical correction. Recent Findings Many modifications to the surgical repair of scoliosis have occurred since the procedure was first performed in the 1960s. Improved surgical equipment and imaging techniques have improved outcomes for posterior spinal fusion. Many centers are now employing anterior spinal tethering procedures. In all cases, anesthetic techniques have been refined over time to improve pre-, intra-, and post-operative management. Summary Innovative surgical approaches and novel anesthetic protocols have impacted the management of patients with scoliosis. Future research is needed to further refine techniques.

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Superior Mesenteric Artery Syndrome Following Scoliosis Surgery: A Systematic Review of Case Reports

Cited by 6 publications

References 35 publications

Superior Mesenteric artery syndrome

Superior Mesenteric artery syndrome

Acute superior mesenteric artery syndrome complicated by severe gastric, pancreatic and renal ischaemia

New Surgical Approaches to Scoliosis Repair in Pediatric Patients—Implications for Anesthetic Management

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