Evidence map›Paper›PMID 30224915›Full record

ArticleGastroenterology research and practice2018

Superior Mesenteric Artery Syndrome: Clinical, Endoscopic, and Radiological Findings.

Emanuele Sinagra, Dario Raimondo, Domenico Albano, Valentina Guarnotta, Melania Blasco, Sergio Testai, Marta Marasà, Vincenzo Mastrella, Valerio Alaimo, Valentina Bova and 15 more

Abstract read
In one paragraph

Article in Gastroenterology research and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  17. Chronic vomiting in children: Etiology, diagnosis, and management.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2020
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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

25 authors.

Emanuele SinagraGastroenterology and Endoscopy Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.ORCID 0000-0002-8528-0384
Dario RaimondoGastroenterology and Endoscopy Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Domenico AlbanoDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127 Palermo, Italy.
Valentina GuarnottaSection of Cardio-Respiratory and Endocrine-Metabolic Diseases, Biomedical Department of Internal and Specialist Medicine (DIBIMIS), University of Palermo, Piazza delle Cliniche 2, 90127 Palermo, Italy.
Melania BlascoInternal Medicine Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Sergio TestaiRadiology Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Marta MarasàRadiology Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Vincenzo MastrellaRadiology Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Valerio AlaimoRadiology Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Valentina BovaRadiology Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Giovanni AlbanoRadiology Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Dario SorrentinoRadiology Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Giovanni TomaselloEuro-Mediterranean Institute of Science and Technology (IEMEST), 90100 Palermo, Italy.ORCID 0000-0002-3071-822X
Francesco CappelloEuro-Mediterranean Institute of Science and Technology (IEMEST), 90100 Palermo, Italy.
Angelo LeoneBioNec, Section of Histology, Department of Experimental and Clinical Neurosciences, University of Palermo, Palermo, Italy.
Francesca RossiGastroenterology and Endoscopy Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Massimo GaliaDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127 Palermo, Italy.ORCID 0000-0003-3913-6290
Roberto LagallaDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127 Palermo, Italy.
Federico MidiriDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127 Palermo, Italy.ORCID 0000-0002-9386-2130
Gaetano Cristian MorrealeGastroenterology Unit, PO. V. Cervello, via Trabucco, 90146 Palermo, Italy.
Georgios AmvrosiadisGastroenterology Unit, PO. V. Cervello, via Trabucco, 90146 Palermo, Italy.
Guido MartoranaSurgery Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Marcello Giuseppe SpampinatoSurgery Unit, Fondazione Istituto G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, Italy.
Vittorio VirgilioStrategic Direction, Fondazione Istituto Giuseppe Giglio, Cefalù, Italy.
Massimo MidiriDepartment of Radiology, DIBIMED, University of Palermo, Via del Vespro 127, 90127 Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe superior mesenteric artery (SMA) syndrome is a rare entity presenting with upper gastrointestinal tract obstruction and weight loss. Studies to determine the optimal methods of diagnosis and treatment are required. AIMS AND

methodsThis study aims at analyzing the clinical presentation, diagnosis, and management of SMA syndrome. Ten cases of SMA syndrome out of 2074 esophagogastroduodenoscopies were suspected. A contrast-enhanced computed tomography (CECT) scan was performed to confirm the diagnosis. After, a gastroenterologist and a nutritionist personalized the therapy. Furthermore, we compared the demographical, clinical, endoscopic, and radiological parameters of these cases with a control group consisting of 10 cases out of 2380 EGDS of initially suspected (but not radiologically confirmed) SMA over a follow-up 2-year period (2015-2016).

resultsThe prevalence of SMA syndrome was 0.005%. Median age and body mass index were 23.5 years and 21.5 kg/m

conclusionSMA syndrome represents a diagnostic and therapeutic challenge. Our results show the following findings: the importance of the endoscopic suspicion of SMA syndrome; the preponderance of a long-standing and chronic onset; a female preponderance; the importance of the nutritional counseling for the treatment; no need of surgical intervention; and better diagnostic accuracy of the narrowing of the aorta-SMA distance. Larger prospective studies are needed to clarify the best diagnosis and management of the SMA syndrome.

Identifiers

PMID30224915
PMCPMC6129792

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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.