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Superior mesenteric artery syndrome

MedGen UID:
21404
Concept ID:
C0038828
Disease or Syndrome
Synonyms: Arteriomesenteric duodenal compression syndrome; Cast syndrome; Vascular compression of the duodenum; Wilkie syndrome
SNOMED CT: SMAS - Superior mesenteric artery syndrome (197006009); Superior mesenteric artery syndrome (197006009)
 
Monarch Initiative: MONDO:0002687
Orphanet: ORPHA622099

Definition

A very rare syndrome characterized by compression of the third portion of the duodenum against the aorta. The compression is caused by the superior mesenteric artery. It results in complete or partial duodenal obstruction. Signs and symptoms include nausea, vomiting, abdominal pain and distention, failure to gain weight, and weight loss. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSuperior mesenteric artery syndrome

Professional guidelines

PubMed

Bronswijk M, Fransen L, Vanella G, Hiele M, van der Merwe S
Endoscopy 2021 Feb;53(2):204-205. Epub 2020 Jun 19 doi: 10.1055/a-1190-3228. PMID: 32559775
Jain N, Chopde A, Soni B, Sharma B, Saini S, Mishra S, Mishra S, Gupta R, Bhojwani R
Surg Endosc 2021 May;35(5):2029-2038. Epub 2020 Apr 27 doi: 10.1007/s00464-020-07598-1. PMID: 32342220
Ananthan K, Onida S, Davies AH
Eur J Vasc Endovasc Surg 2017 Jun;53(6):886-894. Epub 2017 Mar 27 doi: 10.1016/j.ejvs.2017.02.015. PMID: 28356209

Recent clinical studies

Etiology

Jain N, Chopde A, Soni B, Sharma B, Saini S, Mishra S, Mishra S, Gupta R, Bhojwani R
Surg Endosc 2021 May;35(5):2029-2038. Epub 2020 Apr 27 doi: 10.1007/s00464-020-07598-1. PMID: 32342220
Ananthan K, Onida S, Davies AH
Eur J Vasc Endovasc Surg 2017 Jun;53(6):886-894. Epub 2017 Mar 27 doi: 10.1016/j.ejvs.2017.02.015. PMID: 28356209
Norris ML, Harrison ME, Isserlin L, Robinson A, Feder S, Sampson M
Int J Eat Disord 2016 Mar;49(3):216-37. Epub 2015 Sep 26 doi: 10.1002/eat.22462. PMID: 26407541
Takagi H, Watanabe T, Umemoto T; ALICE(All-Literature Investigation of Cardiovascular Evidence) GROUP
Int Angiol 2015 Oct;34(5):454-8. Epub 2014 Sep 12 PMID: 25216355
Merrett ND, Wilson RB, Cosman P, Biankin AV
J Gastrointest Surg 2009 Feb;13(2):287-92. Epub 2008 Sep 23 doi: 10.1007/s11605-008-0695-4. PMID: 18810558

Diagnosis

Giulii Capponi M, Campanati L, Lotti M
ANZ J Surg 2021 Jul;91(7-8):1623-1625. Epub 2020 Dec 3 doi: 10.1111/ans.16468. PMID: 33270966
Ananthan K, Onida S, Davies AH
Eur J Vasc Endovasc Surg 2017 Jun;53(6):886-894. Epub 2017 Mar 27 doi: 10.1016/j.ejvs.2017.02.015. PMID: 28356209
Rehman A, Saeed A, Shaukat T, Jamil K, Zaidi AH, Abdullah K
J Coll Physicians Surg Pak 2011 Jan;21(1):43-5. PMID: 21276386
Merrett ND, Wilson RB, Cosman P, Biankin AV
J Gastrointest Surg 2009 Feb;13(2):287-92. Epub 2008 Sep 23 doi: 10.1007/s11605-008-0695-4. PMID: 18810558
Gaspar MR
Major Probl Clin Surg 1981;4:412-34. PMID: 7029163

Therapy

Jain N, Chopde A, Soni B, Sharma B, Saini S, Mishra S, Mishra S, Gupta R, Bhojwani R
Surg Endosc 2021 May;35(5):2029-2038. Epub 2020 Apr 27 doi: 10.1007/s00464-020-07598-1. PMID: 32342220
Ananthan K, Onida S, Davies AH
Eur J Vasc Endovasc Surg 2017 Jun;53(6):886-894. Epub 2017 Mar 27 doi: 10.1016/j.ejvs.2017.02.015. PMID: 28356209
Norris ML, Harrison ME, Isserlin L, Robinson A, Feder S, Sampson M
Int J Eat Disord 2016 Mar;49(3):216-37. Epub 2015 Sep 26 doi: 10.1002/eat.22462. PMID: 26407541
Satryb SA, Wilson TJ, Patterson MM
Orthop Nurs 2011 Jan-Feb;30(1):37-41; quiz 42-3. doi: 10.1097/NOR.0b013e31820574f9. PMID: 21278553
Kwan E, Lau H, Lee F
Surgery 2004 Feb;135(2):225-7. doi: 10.1016/s0039-6060(03)00367-2. PMID: 14739859

Prognosis

Keighley J, Howlett D
BMJ 2019 May 1;365:l1337. doi: 10.1136/bmj.l1337. PMID: 31043375
Farina R, Foti PV, Cocuzza G, Costanzo V, Costanzo G, Conti A, Torcitto A, Pennisi M
J Ultrasound 2017 Dec;20(4):339-342. Epub 2017 Aug 3 doi: 10.1007/s40477-017-0257-2. PMID: 29204239Free PMC Article
Ananthan K, Onida S, Davies AH
Eur J Vasc Endovasc Surg 2017 Jun;53(6):886-894. Epub 2017 Mar 27 doi: 10.1016/j.ejvs.2017.02.015. PMID: 28356209
Hussain Ashraf T, Chandra A, Jauhari RK, Kumar Singh S, Noushif M
Arab J Gastroenterol 2014 Mar;15(1):40-1. Epub 2013 Dec 15 doi: 10.1016/j.ajg.2013.10.005. PMID: 24630515
Todd SR, Marshall GT, Tyroch AH
Am Surg 2000 Aug;66(8):709-10. PMID: 10966022

Clinical prediction guides

Jonas JP, Rössler F, Ghafoor S, Kobe A, Pfammatter T, Schlag C, Gutschow CA, Petrowsky H, Müller PC, Oberkofler CE
Langenbecks Arch Surg 2023 Jan 24;408(1):59. doi: 10.1007/s00423-023-02803-w. PMID: 36690823Free PMC Article
Warncke ES, Gursahaney DL, Mascolo M, Dee E
Abdom Radiol (NY) 2019 Sep;44(9):3188-3194. doi: 10.1007/s00261-019-02066-4. PMID: 31127323
Gaillard M, Dagher I, Tranchart H
J Visc Surg 2019 Sep;156(4):363-365. Epub 2018 Dec 13 doi: 10.1016/j.jviscsurg.2018.12.001. PMID: 30553575
Ruffle JK, Power N, Aziz Q
Gastroenterology 2019 Feb;156(3):e3-e5. Epub 2018 Sep 18 doi: 10.1053/j.gastro.2018.09.031. PMID: 30240663
Ananthan K, Onida S, Davies AH
Eur J Vasc Endovasc Surg 2017 Jun;53(6):886-894. Epub 2017 Mar 27 doi: 10.1016/j.ejvs.2017.02.015. PMID: 28356209

Recent systematic reviews

Pappalardo G, Pola E, Bertini FA, Nasto LA, Eschweiler J, Schäfer L, Migliorini F
Eur J Med Res 2024 Aug 8;29(1):410. doi: 10.1186/s40001-024-02002-3. PMID: 39118170Free PMC Article
Jonas JP, Rössler F, Ghafoor S, Kobe A, Pfammatter T, Schlag C, Gutschow CA, Petrowsky H, Müller PC, Oberkofler CE
Langenbecks Arch Surg 2023 Jan 24;408(1):59. doi: 10.1007/s00423-023-02803-w. PMID: 36690823Free PMC Article
Fan Y, Cai M, Wang J, Xia L
Ann Vasc Surg 2021 Oct;76:514-535. Epub 2021 Apr 24 doi: 10.1016/j.avsg.2021.03.032. PMID: 33905850
Norris ML, Harrison ME, Isserlin L, Robinson A, Feder S, Sampson M
Int J Eat Disord 2016 Mar;49(3):216-37. Epub 2015 Sep 26 doi: 10.1002/eat.22462. PMID: 26407541
Munene G, Knab M, Parag B
Am Surg 2010 Mar;76(3):321-4. PMID: 20349665

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