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

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...

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Detalles Bibliográficos
Autores principales: Sinagra, Emanuele, Montalbano, Luigi Maria, Linea, Cristina, Giunta, Marco, Tesè, Lorenzo, La Seta, Francesco, Malizia, Giuseppe, Orlando, Ambrogio, Marasà, Marta, D'Amico, Gennaro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2012
Materias:
Published online: March, 2012
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3355678/
https://www.ncbi.nlm.nih.gov/pubmed/22619653
http://dx.doi.org/10.1159/000336278
Descripción
Sumario: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.

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