Evidence map›Paper›PMID 28576908›Full record

ArticleBMJ case reports2017

Increase body weight to treat superior mesenteric artery syndrome.

Miguel Nico Albano, Carlos Costa Almeida, João Mendes Louro, Guillermo Martinez

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Wilkie's Weight Loss Wonder, A Case Series.Spartan medical research journal · 2020
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

Miguel Nico AlbanoCentro Hospitalar de Coimbra, Cirurgia C, Coimbra, Portugal.ORCID http://orcid.org/0000-0003-2169-0859
Carlos Costa AlmeidaCentro Hospitalar de Coimbra, Cirurgia C, Coimbra, Portugal.ORCID http://orcid.org/0000-0002-3541-9974
João Mendes LouroCHUC, HG, Coimbra, Coimbra, Portugal.
Guillermo MartinezCentro Hospitalar de Coimbra, Cirurgia C, Coimbra, Portugal.
Hospitais da Universidade de Coimbra · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSuperior mesenteric artery (SMA) syndrome is a rare cause of duodenal obstruction resulting from vascular compression of the third part of the duodenum in the angle between the abdominal aorta and SMA. CASE PRESENTATION: A 19-year-old woman with anorexia nervosa with upper gastrointestinal obstruction symptoms resorted to the emergency department. A diagnosis of SMA syndrome was made. Symptoms were solved with conservative treatment aimed at increase body weight. DISCUSSION: SMA syndrome is most commonly associated with debilitating illnesses. Patients present with acute or insidious upper gastrointestinal obstruction symptoms. Aortomesenteric artery angle of ≤25° is the most sensitive measure of diagnosis. Advances in both enteral and parenteral nutrition led to a shift towards conservative treatment.

conclusionsLow threshold of suspicion is important to make a timely diagnosis and treatment. A conservative treatment aimed at increasing body weight is the first-line approach, leaving surgical intervention for failure cases.

Indexed as

Anorexia NervosaDuodenal ObstructionDuodenumFemaleHumansParenteral Nutrition, TotalRare DiseasesSuperior Mesenteric Artery SyndromeTomography, X-Ray ComputedTreatment OutcomeWeight GainYoung AdultGastrointestinal surgeryGeneral surgeryStomach and duodenum

Identifiers

PMID28576908
PMCPMC5534791
OpenAlexW2620748986

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.