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Related Experiment Videos

[Superior mesenteric artery syndrome].

T Loeb1, G Loubert, R Morsly

  • 1Département d'anesthésie-réanimation chirurgicale, hôpital Raymond-Poincaré, Garches, France.

Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 2000
PubMed
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.

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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.

Related Experiment Videos

  • 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.