ArticleSurgical endoscopy2021
SMA syndrome: management perspective with laparoscopic duodenojejunostomy and long-term results.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Acute complete duodenal obstruction caused by superior mesenteric artery syndrome in an adolescent: a case report.International journal of surgery case reports · 2026Article
- Robotic Surgery in the Treatment of Combined Wilkie's and Dunbar's Syndromes: A Case Report.Life (Basel, Switzerland) · 2026Article
- The Effect of Traumatic Brain Injury on the Gastrointestinal System: A Comprehensive Review.Brain sciences · 2026Review
- 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
- Article
- Case report: doing the mesenteric twist.Journal of surgical case reports · 2023Article
- Superior mesenteric artery syndrome: Diagnosis and management.World journal of clinical cases · 2023Review
- Nutcracker phenomenon secondary to superior mesenteric artery syndrome.Journal of surgical case reports · 2023Article
- Superior mesenteric artery syndrome secondary to thyrotoxicosis.Journal of surgical case reports · 2022Article
- Laparoscopic duodenojejunostomy for malignant stenosis as a part of multimodal therapy: A case report.World journal of clinical cases · 2022Article
- An unusual cause of abdominal pain: Case report of a Superior Mesenteric Artery syndrome.International journal of surgery case reports · 2022Article
- Wilkie's syndrome as a cause of anxiety-depressive disorder: A case report and review of literature.World journal of clinical cases · 2022Article
- Superior Mesenteric Artery Syndrome Managed with Laparoscopic Duodenojejunostomy.Minimally invasive surgery · 2022Article
- Superior mesenteric artery syndrome treated successfully by endoscopy-assisted jejunal feeding tube placement.BMJ case reports · 2021Article
- Superior mesenteric artery syndrome: An often overlooked cause of abdominal pain!Saudi medical journal · 2021Article
- A clinical course of a patient with anorexia nervosa receiving surgery for superior mesenteric artery syndrome.Journal of eating disorders · 2021Article
- The role of ultrasound imaging in vascular compression syndromes.The ultrasound journal · 2021Review
- 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
- Single-Port Laparoscopic Duodenojejunostomy Employing Semi-Kocherization for a Young Female with Superior Mesenteric Artery Syndrome.Case reports in gastroenterologyArticle
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSuperior mesentery artery syndrome (SMAS) is a rare vasculo-anatomic occlusive pathologic entity for which a period of conservative medical management is advocated with surgery reserved for nonresponsive cases. We present our management plan that entails a single admission approach and complete rendering of medical and surgical treatment to the patient on a background of the socioeconomic and cultural trends prevalent in this geographic region.
methodsA retrospective analysis of 22 cases of SMAS admitted in our health care system who underwent a period of preoperative conditioning followed by laparoscopic duodenojejunostomy from September 2009 to June 2019 was performed. Patients were followed up at regular intervals.
resultsThe mean follow-up of the cohort was 41.2 months (2-108 months). The median length of stay was 6 days. The mean postoperative stay was 4.13 days. A subgroup of six patients who had severe physiological depletion required a period of preoperative optimisation. Five of the 22 (22.7%) patients suffered from postoperative complications in the form of delayed return of bowel functions. None of the patients had complications more than Clavien-Dindo grade 2 with no mortality. Long-term data are available for 19 patients (86.3%) which showed no symptom recurrence.
conclusionManagement of SMAS that entails an antecedent medical therapy followed by surgery can be accomplished in a single admission with good to excellent results in the intermediate and long-term follow-up. Physiologically depleted patients do require a period of intensive preconditioning but on long-term follow-up, they have excellent results.
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