Peer review report 1 on ““Less is more”: Conservative management of short term superior mesenteric artery syndrome”

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“Less is more”: Non operative management of short term superior mesenteric artery syndrome

INTRODUCTION Superior mesenteric artery (SMA) syndrome is a relatively rare aetiology of proximal intestinal obstruction. This is caused by narrowing of vascular angle of SMA and aorta compressing the third part of the duodenum (D3). Predisposing factors may include precipitous weight loss, corrective spinal surgery or repair of an aortic aneurysm. PRESENTATION OF CASE A 53 year old male pres...

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Laparoscopic Management of Superior Mesenteric Artery Syndrome

OBJECTIVES The differential diagnosis of intestinal obstruction includes mechanical obstruction, obstruction secondary to systemic disease, and idiopathic intestinal pseudo-obstruction. The causes of these are extensive; however, the majority of cases involve a mechanical cause. Superior mesenteric artery syndrome (SMAS) is a rare and controversial form of mechanical obstruction with just over ...

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superior mesenteric artery syndrome

superior mesenteric artery syndrome is a very uncommon disorder in which acute angulation of superior mesenteric artery (sma) at its origin from aorta results in compression of the third part of the duodenum leading to partial or complete obstruction of the duodenum. other terminologies for this condition are cast syndrome, wilkie syndrome, arteriomesenteric duodenal obstruction, and chronic du...

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Conservative management of isolated dissection of the superior mesenteric artery.

A 46-year-old man with a previous history of smoking (20 cig./day) was referred because of recurrent episodes of sudden high periumbilical abdominal pain. Upon examination, pain in the periumbilical region was found without peritoneal irritation sings. Blood pressure raised to 180/71 mm Hg. Hemogram, biochemistry, and venous blood gas analysis were strictly normal. On abdominal angio-TC (Fig. 1...

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Superior mesenteric artery syndrome: A case report

CONTEXT Superior mesenteric artery syndrome is a life- threatening upper gastrointestinal disorder due to compression of duodenum as it poses a difficult diagnostic dilemma. Third part of duodenum is in fixed compartment bounded anteriorly by the root of mesentery and superior mesentery artery and posteriorly by the aorta and lumbar spine. On barium contrast study and abdominal computerized tom...

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ژورنال

عنوان ژورنال: Annals of Medicine and Surgery

سال: 2015

ISSN: 2049-0801

DOI: 10.1016/j.amsu.2015.12.028