6533b7d1fe1ef96bd125d952

RESEARCH PRODUCT

Delayed-Onset Superior Mesenteric Artery Syndrome Presenting as Oesophageal Peptic Stricture

Marco GiuntaGiuseppe MaliziaFrancesco La SetaAmbrogio OrlandoLorenzo TesèL.m. MontalbanoEmanuele SinagraC. LineaMarta MarasàGennaro D'amico

subject

medicine.medical_specialtySettore MED/09 - Medicina InternaPepticGastroenterologymedicine.arteryInternal medicinemedicineOesophageal dilatationSuperior mesenteric arterySuperior mesenteric artery syndromelcsh:RC799-869Settore MED/12 - Gastroenterologiabusiness.industryGastroenterologymedicine.diseaseSMA*DysphagiaParenteral nutritionmedicine.anatomical_structureVomitingDuodenumlcsh:Diseases of the digestive system. Gastroenterologymedicine.symptomPublished online: March 2012businessSuperior mesenteric artery syndromeChronic acid reflux

description

Superior mesenteric artery (SMA) syndrome is an infrequent cause of vomiting and weight loss due to compression of the third part of the duodenum by the SMA. We describe the case of a 17-year-old woman, admitted to our department for progressive dysphagia and severe weight loss due to an oesophageal peptic stricture, caused by chronic acid reflux secondary to duodenal compression by the SMA. Symptoms improved after (par)enteral nutrition and repeated oesophageal dilatation, thus supporting the role of intensive medical and endoscopic intervention as an alternative to surgery, at least in some cases.

yearjournalcountryeditionlanguage
2012-02-01Case Reports in Gastroenterology
10.1159/000336278http://www.karger.com/Article/FullText/336278