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Updated: Jul 27, 2026
07:12
Targeting the Rat's Small Bowel: Long-Term Infusion into the Superior Mesenteric Artery
Published on: April 8, 2021
[Superior mesenteric artery syndrome]
1Département d'anesthésie-réanimation chirurgicale, hôpital Raymond-Poincaré, Garches, France.
Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 2000
Summary
Superior mesenteric artery syndrome (SMAS) is a rare surgical complication. Early diagnosis and conservative treatment, including nutritional support, are crucial for managing this duodenal obstruction, with surgery reserved for treatment failures.
Area of Science:
- Medicine
- Surgery
- Gastroenterology
Background:
- Superior mesenteric artery syndrome (SMAS) is a rare but serious complication following spinal surgery.
- It involves the compression of the third duodenal portion between the superior mesenteric artery and the aorta/vertebral column.
- Weight loss, trauma, and body casting are contributing factors.
Observation:
- This report details four cases of SMAS occurring after spine surgery for conditions like quadriplegia, paraplegia, and scoliosis.
- Delayed diagnosis of SMAS can lead to fatal outcomes.
- Diagnostic tools include CT scans with contrast and upper gastrointestinal X-ray studies.
Findings:
- Upper gastrointestinal X-ray studies facilitate the passage of a feeding tube past the obstruction.
- Conservative management involves correcting dehydration and electrolyte imbalances.
- Nasojejunal feeding is a key component of conservative treatment.
Implications:
- Prompt diagnosis and management of SMAS are vital to prevent mortality.
- Conservative treatment, including nutritional support, is the primary approach.
- Surgical intervention is reserved for cases unresponsive to conservative measures.
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