Superior mesenteric artery (Wilkie's) syndrome: a rare cause of upper gastrointestinal system obstruction

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dc.contributor.authorOguz, Abdullah
dc.contributor.authorUslukaya, Omer
dc.contributor.authorUlger, Burak Veli
dc.contributor.authorTurkoglu, Ahmet
dc.contributor.authorBahadir, Mehmet Veysi
dc.contributor.authorBozdag, Zubeyir
dc.contributor.authorBoyuk, Abdullah
dc.date.accessioned2024-04-24T16:24:15Z
dc.date.available2024-04-24T16:24:15Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground Superior mesenteric artery syndrome (SMAS) results from the compression of the third part of the duodenum between the aorta and the proximal part of the superior mesenteric artery (SMA). Clinical presentation of SMAS is characterized by the dilatation of the proximal part of the third part of the duodenum. SMAS is a rare cause of the upper gastrointestinal system (UGS) obstruction. In this study, we aimed to present our clinical experience in the treatment of five patients with SMAS, which is a rare clinical condition requiring surgery. Patients and methods The retrospective study included five patients who were treated due to SMAS at our clinic between January 2010 and January 2014. Results All the patients were underweight, with a mean BMI of 15.73 (14-16). The clinical symptoms included epigastric pain after food intake, large volume bilious emesis, early satiety, failure to gain weight, indigestion, esophageal reflux, sense of fullness, and persistent weight loss. SMAS was diagnosed using barium meal studies, upper gastrointestinal endoscopy, abdominal ultrasonography, and CT angiography. Four patients underwent duodenoje-junostomy and one patient was managed with gastrojejunostomy. No complication was observed during the postoperative period, and all the patients achieved significant improvement in symptoms. Conclusion SMAS is a rare cause of UGS obstruction, and the diagnosis of SMAS is often delayed. SMAS should be suspected in the differential diagnosis of the patients with unsubstantiated symptoms of persistent nausea, emesis, and significant weight loss.en_US
dc.identifier.doi10.1080/00015458.2016.1139830
dc.identifier.endpage88en_US
dc.identifier.issn0001-5458
dc.identifier.issue2en_US
dc.identifier.pmid27385294
dc.identifier.scopus2-s2.0-84981165122
dc.identifier.scopusqualityQ3
dc.identifier.startpage81en_US
dc.identifier.urihttps://doi.org/10.1080/00015458.2016.1139830
dc.identifier.urihttps://hdl.handle.net/11468/16609
dc.identifier.volume116en_US
dc.identifier.wosWOS:000389704700002
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofActa Chirurgica Belgica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDuodenojejunostomyen_US
dc.subjectEmesisen_US
dc.subjectNauseaen_US
dc.subjectSuperior Mesenteric Artery Syndromeen_US
dc.subjectWeight Lossen_US
dc.titleSuperior mesenteric artery (Wilkie's) syndrome: a rare cause of upper gastrointestinal system obstructionen_US
dc.titleSuperior mesenteric artery (Wilkie's) syndrome: a rare cause of upper gastrointestinal system obstruction
dc.typeArticleen_US

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