Superior mesenteric artery syndrome: Diagnosis and management

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. May 26, 2023; 11(15): 3369-3384
Published online May 26, 2023. doi: 10.12998/wjcc.v11.i15.3369

Table 6 Treatments for superior mesenteric artery syndrome

Therapeutic methods
Conservative therapy
	Decompression of dilated stomach and duodenum by
		Postural change (left lateral, sitting position)
		Nasal gastric tube suction
		Medication (metoclopramide)
	Gaining weight by
		Giving multiple small feeds
		Feeding tube (nasal gastric or jejunal)
		Total parenteral nutrition
Surgical therapy
	Anterior transposition of the third part of duodenum
	Gastroduodenostomy
	Gastrojejunostomy
	Duodenojejunostomy
	Strong’s procedure (a division of the ligament of Treitz)
	Duodenal lowering
	Ladd's procedure
Endoscopic therapy
	Lumen-apposing metal stent¹ by
		EUS-guided gastrojejunostomy

¹Lumen-apposing metal stent: Potential option based on case reports.

EUS: Endoscopic ultrasonography.

Citation: Oka A, Awoniyi M, Hasegawa N, Yoshida Y, Tobita H, Ishimura N, Ishihara S. Superior mesenteric artery syndrome: Diagnosis and management. World J Clin Cases 2023; 11(15): 3369-3384
URL: https://www.wjgnet.com/2307-8960/full/v11/i15/3369.htm
DOI: https://dx.doi.org/10.12998/wjcc.v11.i15.3369

Oka A, Awoniyi M, Hasegawa N, Yoshida Y, Tobita H, Ishimura N, Ishihara S. Superior mesenteric artery syndrome: Diagnosis and management. World J Clin Cases 2023; 11(15): 3369-3384 [PMID: 37383896 DOI: 10.12998/wjcc.v11.i15.3369]

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