Superior Mesenteric Artery Syndrome: A Potentially Fatal but Reversible Gastrointestinal Manifestation of Systemic Sclerosis
Joint Authors
Chua, Choon-Guan
Wansaicheong, Gervais Khin-Lin
Lim, Wee-Chian
Thong, Bernard Yu-Hor
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-04
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Superior mesenteric artery syndrome (SMAS) is a rare gastrointestinal disorder characterised by vascular compression of the third part of the duodenum, in the angle between the superior mesenteric artery (SMA) and the abdominal aorta.
It presents as an uncommon cause of upper gastrointestinal obstruction.
In patients with systemic sclerosis (SSc), gastrointestinal involvement may result in oesophageal dysmotility, gastroesophageal reflux disease (GERD), gastroparesis, small intestinal bacterial overgrowth (SIBO), chronic intestinal pseudoobstruction (CIPO), and fecal incontinence.
Malnutrition may thus result in weight loss and reduced mesenteric and retroperitoneal adipose tissue, decreasing the angle between the SMA and aorta causing SMAS.
Enteral or parenteral feeding can potentially reverse SMAS in SSc.
We report a case of SMAS in an elderly female with SSc and concurrent gastrointestinal involvement, and discuss the important management considerations and potential adverse outcomes when untreated.
American Psychological Association (APA)
Chua, Choon-Guan& Wansaicheong, Gervais Khin-Lin& Lim, Wee-Chian& Thong, Bernard Yu-Hor. 2020. Superior Mesenteric Artery Syndrome: A Potentially Fatal but Reversible Gastrointestinal Manifestation of Systemic Sclerosis. Case Reports in Rheumatology،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1151207
Modern Language Association (MLA)
Chua, Choon-Guan…[et al.]. Superior Mesenteric Artery Syndrome: A Potentially Fatal but Reversible Gastrointestinal Manifestation of Systemic Sclerosis. Case Reports in Rheumatology No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1151207
American Medical Association (AMA)
Chua, Choon-Guan& Wansaicheong, Gervais Khin-Lin& Lim, Wee-Chian& Thong, Bernard Yu-Hor. Superior Mesenteric Artery Syndrome: A Potentially Fatal but Reversible Gastrointestinal Manifestation of Systemic Sclerosis. Case Reports in Rheumatology. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1151207
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151207