ArticleAnnals of the Royal College of Surgeons of England2017
Superior mesenteric artery syndrome: a single centre experience of laparoscopic duodenojejunostomy as the operation of choice.
Article in Annals of the Royal College of Surgeons of England, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Predictors of Successful Weight Restoration in the Treatment of Superior Mesenteric Artery Syndrome: A Systematic Review.Nutrients · 2025Pooled it
- Superior mesenteric artery syndrome following spine surgery in idiopathic adolescent scoliosis: a systematic review.European journal of medical research · 2024Pooled it
- Surgical therapy of celiac axis and superior mesenteric artery syndrome.Langenbeck's archives of surgery · 2023Pooled it
- Laparoscopic gastrojejunostomy for gastric outlet obstruction in patients with unresectable hepatopancreatobiliary cancers: A personal series and systematic review of the literature.World journal of gastroenterology · 2018Pooled it
- Triple abdominal vascular compression: coexistence of Dunbar syndrome, Wilkie syndrome, and Nutcracker phenomenon: a case report and literature review.Jornal vascular brasileiro · 2026Article
- Long-term outcomes of laparoscopic duodenojejunostomy for superior mesenteric artery syndrome.Surgical endoscopy · 2025Article
- Superior mesenteric artery syndrome, an uncommon cause of gastric outlet obstruction: Case report.International journal of surgery case reports · 2025Article
- Duodenojejunostomy following failed gastrojejunostomy in superior mesenteric artery syndrome: A case report.International journal of surgery case reports · 2024Article
- Challenges and pitfalls in diagnosing superior mesenteric artery syndrome: A case report.SAGE open medical case reports · 2024Article
- Laparoscopic lateral duodenojejunostomy for pediatric superior mesenteric artery compression syndrome: a cohort retrospective study.BMC surgery · 2023Article
- Aorto-mesenteric compass syndrome (Wilkie's syndrome) in the differential diagnosis of chronic abdominal pain.BMJ case reports · 2023Article
- Superior mesenteric artery syndrome in a malnourished female: A rare cause of abdominal pain.Radiology case reports · 2022Article
- Superior Mesenteric Artery Syndrome: Delayed Diagnosis of a Rare Clinical Entity With a Common Clinical Presentation.Cureus · 2022Article
- Laparoscopic duodenojejunostomy for malignant stenosis as a part of multimodal therapy: A case report.World journal of clinical cases · 2022Article
- Superior mesenteric artery syndrome treated successfully by endoscopy-assisted jejunal feeding tube placement.BMJ case reports · 2021Article
- SMA syndrome: management perspective with laparoscopic duodenojejunostomy and long-term results.Surgical endoscopy · 2021Article
- Superior mesenteric artery syndrome caused by acute weight loss in a 16-year-old polytrauma patient: A rare case report and review of the literature.Annals of medicine and surgery (2012) · 2021Article
- Minimally Invasive Surgical Approach for the Treatment of Superior Mesenteric Artery Syndrome: Long-Term Outcomes.World journal of surgery · 2020Article
- Laparoscopic duodenojejunostomy requiring a side-to-side jejunojejunostomy in malignant stenosis of the gastrojejunal anastomosis in jejunal cancer: A case report.International journal of surgery case reports · 2020Article
- Case Report of Novel Endoscopic Findings in SMA Syndrome Demonstrated by Video Endoscopy: Visibly Pulsating, Band-Like, Compression in Third Portion of Duodenum, with the Pulsations Corresponding One-for-One with the Radial Pulse and EKG Cycle.Digestive diseases and sciences · 2019Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
INTRODUCTION The superior mesenteric artery (SMA) syndrome, or Wilkie's syndrome, is a rare cause of postprandial epigastric pain, vomiting and weight loss caused by compression of the third part of the duodenum as it passes beneath the proximal superior mesenteric artery. The syndrome may be precipitated by sudden weight loss secondary to other pathologies, such as trauma, malignancy or eating disorders. Diagnosis is confirmed by angiography, which reveals a reduced aorto-SMA angle and distance, and contrast studies showing duodenal obstruction. Conservative management aims to increase intra-abdominal fat by dietary manipulation and thereby increase the angle between the SMA and aorta. Where surgery is indicated, division of the ligament of Treitz, anterior transposition of the third part of the duodenum and duodenojejunostomy have been described. METHODS We present four cases of SMA syndrome where the intention of treatment was laparoscopic duodenojejunostomy. The procedure was completed successfully in three patients, who recovered quickly with no short-term complications. A fourth patient underwent open gastrojejunostomy (complicated by an anastomotic bleed) when dense adhesions prevented duodenojejunostomy. CONCLUSIONS The superior mesenteric artery syndrome should be considered in patients with epigastric pain, prolonged vomiting and weight loss. Laparoscopic duodenojejunostomy is a safe and effective operation for management of the syndrome. A multi-speciality team approach including gastrointestinal, vascular and radiological specialists should be invoked in the management of these patients.
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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.