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Superior Mesenteric Artery Syndrome: Where Do We Stand Today?

  • Original Article
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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Background

Most data on large studies of superior mesenteric artery syndrome (SMAS) were published over 30 years ago. New studies are needed so that current medical progress can influence SMAS diagnosis and improve therapeutic outcomes.

Methods

This study was conducted to report the clinical features and outcomes of SMAS. From January 2000 to December 2009, 80 cases (53 females, median age 28 years) of SMAS were collected retrospectively from seven university hospitals in South Korea.

Results

The median body mass index at diagnosis was 17.4 kg/m2, with a range of 10–22.1. Forty (50 %) of the 80 SMAS patients had co-morbid conditions including mental and behavioral disorders, infectious disorders, and disorders of the nervous system (21.3, 12.5, and 11.3 %, respectively). Computerized tomography was most commonly (93.8 %) used to diagnose SMAS. The overall medical management success and recurrence rates were 71.3 and 15.8 %, respectively. Surgical management had a high 92.9 % (13/14) success rate. The most common surgical procedure for SMAS was laparoscopic duodenojejunostomy.

Conclusions

This is the largest case series to document the clinical features and changes in diagnostic modalities, medical and surgical managements, and their outcomes in SMAS patients. Laparoscopic duodenojejunostomy is the preferred surgical procedure when medical management of the disease fails.

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Acknowledgments

This study was supported by a grant of the Korean Society of Neurogastroenterology and Motility.

Conflict of Interest

No conflict of interest exists.

Author information

Authors and Affiliations

  1. Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University Hospital, Seoul, South Korea

    Tae Hee Lee & Joon Seong Lee

  2. Department of Internal Medicine, Eulji General Hospital, Eulji University College of Medicine, Seoul, South Korea

    Yunju Jo

  3. Department of Internal Medicine, Keimyung University College of Medicine, Daegu, South Korea

    Kyung Sik Park

  4. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea

    Jae Hee Cheon

  5. Department of Internal Medicine, Digestive Disease Research Institute, Sanbon Hospital, Wonkwang University School of Medicine, Gyeonggi, South Korea

    Yong Sung Kim

  6. Department of Internal Medicine, College of Medicine, Kyunghee University, Seoul, South Korea

    Jae Young Jang

  7. Department of Internal Medicine, Konyang University College of Medicine, Daejeon, South Korea

    Young Woo Kang

  8. Institute for Digestive Research, Soonchunhyang University College of Medicine, Daesagwan-gil 22, Yongsan-gu, Seoul, South Korea

    Joon Seong Lee

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  1. Tae Hee Lee
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Corresponding author

Correspondence to Joon Seong Lee.

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Lee, T.H., Lee, J.S., Jo, Y. et al. Superior Mesenteric Artery Syndrome: Where Do We Stand Today?. J Gastrointest Surg 16, 2203–2211 (2012). https://doi.org/10.1007/s11605-012-2049-5

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  • DOI: https://doi.org/10.1007/s11605-012-2049-5

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