Superior Mesenteric Artery Syndrome in Children

Burrington, John D.

doi:10.1001/archpedi.1976.02120130073015

Cited by 26 publications

(28 citation statements)

References 12 publications

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“…4). Burrington (1976) thought this concept was too simplistic and suggested that compression resulted from the attachment of the small bowel mesentery to the retro-peritoneal tissue and the peritoneal reflection that forms the ligament ofTreitz. He highlighted the difficulty of distinguishing SMAS from psychogenic vomiting by describing a girl in whom anorexia nervosa had been diagnosed.…”

Section: Discussionmentioning

confidence: 99%

Superior mesenteric artery syndrome

Jones

Wastell

1983

Postgraduate Medical Journal

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On examination, he was extremely thin and weak, but there were no other abnormal physical signs.Investigations showed a moderate hypokalaemic alkalosis and a blood urea of 22.8 mmol/litre. The barium meal showed obstruction of the third part of the duodenum with proximal dilatation (Fig. 1).The differential diagnosis was thought to include superior mesenteric artery syndrome (SMAS), small bowel lymphoma, external compression from an abnormal band, annular pancreas or intraduodenal diverticulum. After adequate rehydration and correction of the metabolic disturbances, a laparotomy was performed. The first and second parts of the duodenum were dilated and hypertrophied but there was no other abnormality. Their dilatation came to an abrupt end where the superior mesenteric vessels crossed the third part of the duodenum. Duodenotomy excluded an intraduodenal abnormality. It was concluded that this was a case of superior mesenteric artery syndrome and a short looped, retrocolic duodenojejunostomy was fashioned (Fig. 2)

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Section: Discussionmentioning

confidence: 99%

Superior mesenteric artery syndrome

Jones

Wastell

1983

Postgraduate Medical Journal

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“…Cuando el paciente logra un ascenso ponderal de 2,5 kg asociado con comprension delmecanismo que desencadeno el trastorno, quedaria capacitado para regular su habito de alirnentacion y continuar su recuperacion 5 . Cuando fracasa el tratamiento medico estaria indicada la correccion quinirgica de la obstruccion para lo cual se ban descrito tres tecnicas: gastroyeyunoestomia, duodenoyeyunostomi'a y operacion de Strong, donde se secciona el ligamento de Treitz y se moviliza el duodeno con transposicion de colon derecho 7 .…”

Section: Discusionunclassified

Síndrome de la Arteria Mesentérica Superior Presentación de Dos Casos

Ríos¹,

Thümler²,

Toro³

1986

Rev. chil. pediatr.

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“…This could not be confirmed by radiography of the abdomen in supine and upright positions, but an upper-GI series showed obstruction at the .level of the distal part of the duodenum and distention of the stomach and proximal duodenum. Superiormesenteric-artery syndrome was diagnosed, and the boy's condition improved with appropriate medical management (3,5).…”

Section: Case Reportmentioning

confidence: 99%

The Superior-Mesenteric-Artery Syndrome

Froese

Szmuilowicz

Bailey

1978

Canadian Psychiatric Association Journal

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The so-called superior-mesenteric-artery syndrome is not mentioned in psychiatric journals or books. Yet two variations of the condition have been described. In its acute form, it can be mistaken for psychogenic vomiting in anorexic patients, while its chronic intermittent form is readily misdiagnosed as anorexia nervosa. The case report is of a 16-year-old boy admitted for investigation and treatment of severe weight loss. He initially responded to a modified behaviour program, but within days developed an acute small-bowel obstruction. Superior-mesenteric-artery syndrome was diagnosed and he improved with appropriate medical management. This condition needs to be considered by the psychiatrist who otherwise might not differentiate it from the symptoms of anorexia nervosa.

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Superior Mesenteric Artery Syndrome in Children

Cited by 26 publications

References 12 publications

Superior mesenteric artery syndrome

Superior mesenteric artery syndrome

Síndrome de la Arteria Mesentérica Superior Presentación de Dos Casos

The Superior-Mesenteric-Artery Syndrome

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