Superior Mesenteric Artery Syndrome in Thermally Injured Patients

Lescher, Thomas J.; Sirinek, Kenneth R.; Pruitt, Basil A.

doi:10.1097/00005373-197908000-00004

Cited by 30 publications

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“…In a 12‐year period Lescher et al . reported 37 of 3536 burn patients developed acute obstruction of the duodenum by the SMA 6 . Over 400 cases are reported among all age groups, but 75% range from 10 to 39 years of age with a higher incidence in women 7 …”

Section: Discussionmentioning

confidence: 99%

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Superior mesenteric artery syndrome: Report of two patients and review of the literature

Alabkari

Aljaroof

2003

Annals of the College of Surgeons of Hong Kong

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Superior mesenteric artery syndrome is a rare disease that should be considered in the differential diagnosis of upper abdominal pain, vomiting and weight loss. Compression of the third part of the duodenum between the superior mesenteric artery anteriorly and the aorta and the spinal cord posteriorly may result in high intestinal obstruction. Surgical treatment with duodenojejunostomy is indicated if proper conservative treatment has failed. Two patients are reported in the present case. One patient presented with acute surgical abdomen, which was an unusual presentation of superior mesenteric artery syndrome, while the second patient had classic features of the syndrome. Both patients were successfully treated with duodenojejunostomy. The pathophysiology, clinical presentation, investigation and management of this condition are discussed.

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Section: Discussionmentioning

confidence: 99%

“…Gastrojejunostomy provides adequate decompression of the stomach but is inadequate for releasing duodenal obstruction, is a procedure considered to be hazardous because of the risk of development of peptic stomal ulcer and persistent duodenal dilatation 6,24 , 32 …”

Section: Discussionmentioning

confidence: 99%

Superior mesenteric artery syndrome: Report of two patients and review of the literature

Alabkari

Aljaroof

2003

Annals of the College of Surgeons of Hong Kong

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“…Das AMS-Kompressionssyndrom kann auftreten nach rapidem Gewichtsverlust mit Reduzierung auch des retromesenterialen Fettgewebes (Anorexia nervosa; [3,14]), posttraumatisch [9,10], nach Schädel-Hirn-Verletzung [11], nach orthopädischer Rekonstruktion bei Wirbelsäulendeformität [10], Immobilisierung im Körperrumpfgips ("body cast syndrome"; [5]), nach gastrointestinaler Chirurgie, durch Einengung des Ligamentum arcuatum, durch äußere Kompression durch ein Aortenaneurysma [1,15] oder nach aortaler Rekonstruktion wegen Coarctatio aortae abdominalis. Des Weiteren wurde auch eine familiäre Disposition beschrieben [6].…”

Section: Pathophysiologieunclassified

Paradigmenwechsel in der Behandlung des Wilkie-Syndroms

2008

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The superior mesenteric artery syndrome--also known as Wilkie's syndrome or as arteriomesenteric obstruction of the duodenum--is a rare condition of upper intestinal obstruction in which the third part of the duodenum is compressed by the overlying, narrow-angled superior mesenteric artery against the posterior structures. It is characterized by early satiety, recurrent vomiting, abdominal distention, weight loss and postprandial distress. When nonsurgical management is not possible or the problem is refractory, surgical intervention is necessary. Usually a reconstruction of the intestinal passage is performed. We report the first case of successful transposition of the superior mesenteric artery into the infrarenal aorta in the therapy of Wilkie's syndrome.

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“…For example, weight loss can lead to depletion of mesenteric and retroperitoneal fat and lymphatics between the SMA and the aorta, with subsequent reduction in the aortomesenteric angle. SMA syndrome has been associated with conditions that cause significant weight loss: eating disorders, burn injury, bariatric surgery, and cardiac cachexia [3][4][5][6]. Restorative proctocolectomy with ileal-anal anastomosis has been reported as a risk factor for development of SMA syndrome by a decrease in the aortomesenteric angle from tension placed on the small bowel when stretched to the anal anastomosis [7•].…”

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confidence: 99%

Superior mesenteric artery syndrome

Jain

2007

Curr Treat Options Gastro

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Superior mesenteric artery (SMA) syndrome (also known as Wilkie's syndrome, chronic duodenal ileus, or cast syndrome) occurs when the third portion of the duodenum is compressed between the SMA and the aorta. The major risk factors for development of SMA syndrome are rapid weight loss and surgical correction of spinal deformities. The clinical presentation of SMA syndrome is variable and nonspecific, including nausea, vomiting, abdominal pain, and weight loss. The diagnosis is based on radiographic findings of duodenal compression by the SMA. The treatment of SMA syndrome is aimed at the precipitating factor, which usually is related to weight loss. Therefore, conservative therapy with nutritional supplementation is the initial approach, and surgery is reserved for those who do not respond to hyperalimentation.

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Superior Mesenteric Artery Syndrome in Thermally Injured Patients

Cited by 30 publications

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Superior mesenteric artery syndrome: Report of two patients and review of the literature

Superior mesenteric artery syndrome: Report of two patients and review of the literature

Paradigmenwechsel in der Behandlung des Wilkie-Syndroms

Superior mesenteric artery syndrome

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