Understanding Superior Mesenteric Artery Syndrome: Etiology, Symptoms, Diagnosis, and Management

Cureus. 2024 Jun 2;16(6):e61532. doi: 10.7759/cureus.61532. eCollection 2024 Jun.

Abstract

Superior mesenteric artery (SMA) syndrome, also known as Wilkie's syndrome, poses a diagnostic challenge due to its rarity and varied clinical manifestations. This review explores the syndrome's etiology, symptoms, diagnostic challenges, and management strategies. Symptoms range from early satiety to severe abdominal pain, often leading to malnutrition. Diagnosis involves a thorough gastrointestinal evaluation and various imaging modalities. Management includes medical interventions like nasogastric decompression and nutritional support, along with surgical interventions such as duodenojejunostomy. A thorough understanding of SMA syndrome's complexities is crucial for its timely diagnosis and effective management, especially considering its potential overlap with other gastrointestinal disorders or eating disorders. Further research is needed to enhance understanding and improve patient outcomes.

Keywords: duodenojejunostomy; gastrointestinal evaluation; imaging modalities; medical treatment; nasogastric decompression; sma syndrome; superior mesenteric artery syndrome; surgical intervention; wilkie's syndrome.

Publication types

  • Review