Evidence map›Paper›PMID 30291587›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2019

Superior Mesenteric Artery Syndrome: a Prospective Study in a Single Institution.

Angelica Ganss, Sabrina Rampado, Edoardo Savarino, Romeo Bardini

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03416647 (Superior Mesenteric Artery Syndrome), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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.

NCT03416647 nacompletednot on this map

Superior Mesenteric Artery Syndrome: a Prospective Study in a Single Institution

TypeinterventionalSponsorAzienda Ospedaliera di PadovaRan2008 to 2017Enrolled39ConditionsSuperior Mesenteric Artery SyndromeArmsDuodenojejunostomy
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Angelica GanssDepartment of Surgery, Oncology and Gastroenterology, General Surgery Unit, School of Medicine, University of Padua, Padua, Italy. angelica.ganss@yahoo.it.ORCID 0000-0002-1657-299X
Sabrina RampadoDepartment of Surgery, Oncology and Gastroenterology, General Surgery Unit, School of Medicine, University of Padua, Padua, Italy.
Edoardo SavarinoDepartment of Surgery, Oncology and Gastroenterology, Gastroenterology Unit, School of Medicine, University of Padua, Padua, Italy.
Romeo BardiniDepartment of Surgery, Oncology and Gastroenterology, General Surgery Unit, School of Medicine, University of Padua, Padua, Italy.
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuperior mesenteric artery syndrome (SMAS) is a rare cause of duodenal obstruction, resulting from the compression of the duodenum between superior mesenteric artery and aorta. This prospective registry aims to describe demographic, clinical, and outcome features of patients suffering from SMAS and to point out the indications for surgery.

methodsBetween 2008 and 2016, patients with chronic gastrointestinal symptoms and diagnosis of SMAS were included. Demographics, clinical presentation, diagnosis, and surgical outcome were recorded. Symptoms were investigated with a standardized questionnaire. The diagnosis was achieved through barium swallow, CT/MR angiography (aortomesenteric angle ≤ 22°, distance ≤ 8 mm), endoscopy. All patients underwent duodenojejunostomy ± distal duodenum resection. At follow-up, symptom score and barium swallow were re-evaluated.

resultsThirty-nine patients (11 M/28 F, median age 38 years, median BMI 17.8 kg/m

conclusionsSMAS is a rare condition that should be suspected in cases of chronic, refractory upper digestive symptoms, particularly in females with low BMIs. Surgical treatment may improve symptoms and quality of life, although it is not curative in all cases. ClinicalTrials.gov Identifier: NCT03416647.

Indexed as

AdultAnastomosis, SurgicalBarium SulfateBody Mass IndexComputed Tomography AngiographyContrast MediaDuodenumFemaleHumansJejunumMagnetic Resonance AngiographyMaleMesenteric Artery, SuperiorMiddle AgedProspective StudiesSuperior Mesenteric Artery SyndromeBarium SulfateContrast MediaBile refluxChronic duodenal obstructionDuodenojejunostomySuperior mesenteric artery syndrome

Identifiers

PMID30291587
OpenAlexW2894752370

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.