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Targeting the Rat's Small Bowel: Long-Term Infusion into the Superior Mesenteric Artery
Published on: April 8, 2021
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Superior Mesenteric Artery Syndrome: A Community Hospital Case Series
Brian Welch1, Alex Schaal1, Thomas F O'Shea2
1Flushing Hospital Medical Center, 4500 Parsons Blvd., Flushing, NY 11355, USA.
Case Reports in Vascular Medicine
|November 22, 2021
Summary
Superior mesenteric artery syndrome (SMAS) occurs when the small bowel is obstructed between the aorta and the superior mesenteric artery. Lower BMI in SMAS patients may predict the need for surgery over conservative medical management.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Abdominal Imaging
Background:
- Superior mesenteric artery syndrome (SMAS) is a rare gastrovascular disorder.
- It involves obstruction of the third portion of the duodenum by the superior mesenteric artery (SMA).
- Management typically begins with conservative measures, escalating to surgery if medical treatment fails.
Observation:
- A retrospective case series analyzed 13 patients diagnosed with SMAS between 2011 and 2020.
- Nine patients received conservative management, while four required surgical intervention.
- Patient characteristics were summarized using descriptive statistics.
Findings:
- A significant difference in Body Mass Index (BMI) was observed between the groups.
- Patients requiring operative intervention had a significantly lower BMI compared to those managed successfully with conservative treatment.
- This suggests BMI may be a predictor for surgical necessity in SMAS.
Implications:
- This community hospital case series contributes valuable data to the existing literature on SMAS.
- Lower BMI is identified as a potential predictor for surgical intervention in SMAS patients.
- Findings may aid clinicians in stratifying SMAS patients and optimizing treatment pathways.
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