Superior Mesenteric Artery Syndrome: Where Do We Stand Today?

Tae Hee Lee, Joon Seong Lee, Yunju Jo, Kyung Sik Park, Jae Hee Cheon, Yong Sung Kim, Jae Young Jang, Young Woo Kang

Research output: Contribution to journalArticle

44 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)2203-2211
Number of pages9
JournalJournal of Gastrointestinal Surgery
Volume16
Issue number12
DOIs
Publication statusPublished - 2012 Dec

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

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