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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

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Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, Department of Medicine, William Beaumont Hospital, MOB 602, 3535 West Thirteen Mile Road, Royal Oak, MI, 48073, USA

    Mitchell S. Cappell, Mihajlo Gjeorgjievski & Molly Orosey

  2. Division of Gastroenterology and Hepatology, Department of Medicine, Oakland University William Beaumont School of Medicine, MOB 602, 3535 West Thirteen Mile Road, Royal Oak, MI, 48073, USA

    Mitchell S. Cappell

Authors
  1. Mitchell S. Cappell
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  2. Mihajlo Gjeorgjievski
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  3. Molly Orosey
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Contributions

Dr. Cappell treated the patient and wrote the bulk of the paper. Drs. Mihajlo Gjeorgjievski and Molly Orosey also treated the patient and wrote part of the case report section.

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Correspondence to Mitchell S. Cappell.

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Conflicts of interest

The authors declare that they have no conflict of interest. In particular, Dr. Cappell, as a consultant of the United States Food and Drug Administration (FDA) Advisory Committee for Gastroenterology Drugs, affirms that this paper does not discuss any proprietary confidential pharmaceutical data submitted to the FDA and reviewed by Dr. Cappell. Dr. Cappell is also a member of the speaker’s bureau for AstraZeneca and Daiichi Sankyo, co-marketers of Movantik. Dr. Cappell has had one-time consultancies for Mallinckrodt and Shire in the past. This work does not discuss any drug manufactured or marketed by AstraZeneca, Daiichi Sankyo, Shire, or Mallinckrodt.

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Video-endoscopy demonstrates that the cyclic narrowing is visibly pulsating; one-for-one with the palpated radial pulse; and one-for-one with the electrocardiographic cycle (with peak luminal narrowing occurring after the electrocardiographic QRS complex with a brief lag) (WMV 3216 kb)

Supplementary material 2 (DOCX 15 kb)

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Cappell, M.S., Gjeorgjievski, M. & Orosey, M. 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. Dig Dis Sci 64, 1715–1718 (2019). https://doi.org/10.1007/s10620-019-5472-6

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