Superior Mesenteric Artery Syndrome—Believe in it! Report of a Case

We present a case of a man with amyotrophic lateral sclerosis who developed superior mesenteric artery syndrome (SMAS) following the confection of feeding jejunostomy. He was successfully managed by conservative treatment. Left lateral positioning during enteral feeding allowed quick resolution of...

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Main Authors: Sante Capitano, Gianfranco Donatelli, Gianfranco Boccoli
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2012/282646
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author Sante Capitano
Gianfranco Donatelli
Gianfranco Boccoli
author_facet Sante Capitano
Gianfranco Donatelli
Gianfranco Boccoli
author_sort Sante Capitano
collection DOAJ
description We present a case of a man with amyotrophic lateral sclerosis who developed superior mesenteric artery syndrome (SMAS) following the confection of feeding jejunostomy. He was successfully managed by conservative treatment. Left lateral positioning during enteral feeding allowed quick resolution of the occlusive state. Various surgical interventions have been associated with SMAS, directly or indirectly, by reducing the width of the aortomesenteric angle. The operative stress was probably what triggered symptomatology in our patient thus to conclude that the surgical stress should be considered as a causal factor triggering the SMAS in a context of other predisposing factors.
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institution Kabale University
issn 2090-6900
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publishDate 2012-01-01
publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-10d88b57f81f4c4a9332cd3dec5b0a682025-08-20T03:55:45ZengWileyCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/282646282646Superior Mesenteric Artery Syndrome—Believe in it! Report of a CaseSante Capitano0Gianfranco Donatelli1Gianfranco Boccoli2Dipartimento di Chirurgia e Patologia Chirurgica, Istituto di Ricovero e Cura a Carattere Scientifico (INRCA), P.O.R. Ancona, Via Della Montagnola 81, 60100 Ancona, ItalyNouvel Hopital Civil, Les Hopitaux Universitaires de Strasbourg, IRCAD-EITS, 67000 Strabourg, FranceDipartimento di Chirurgia e Patologia Chirurgica, Istituto di Ricovero e Cura a Carattere Scientifico (INRCA), P.O.R. Ancona, Via Della Montagnola 81, 60100 Ancona, ItalyWe present a case of a man with amyotrophic lateral sclerosis who developed superior mesenteric artery syndrome (SMAS) following the confection of feeding jejunostomy. He was successfully managed by conservative treatment. Left lateral positioning during enteral feeding allowed quick resolution of the occlusive state. Various surgical interventions have been associated with SMAS, directly or indirectly, by reducing the width of the aortomesenteric angle. The operative stress was probably what triggered symptomatology in our patient thus to conclude that the surgical stress should be considered as a causal factor triggering the SMAS in a context of other predisposing factors.http://dx.doi.org/10.1155/2012/282646
spellingShingle Sante Capitano
Gianfranco Donatelli
Gianfranco Boccoli
Superior Mesenteric Artery Syndrome—Believe in it! Report of a Case
Case Reports in Surgery
title Superior Mesenteric Artery Syndrome—Believe in it! Report of a Case
title_full Superior Mesenteric Artery Syndrome—Believe in it! Report of a Case
title_fullStr Superior Mesenteric Artery Syndrome—Believe in it! Report of a Case
title_full_unstemmed Superior Mesenteric Artery Syndrome—Believe in it! Report of a Case
title_short Superior Mesenteric Artery Syndrome—Believe in it! Report of a Case
title_sort superior mesenteric artery syndrome believe in it report of a case
url http://dx.doi.org/10.1155/2012/282646
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