Jul 17, 2023 · Conservative management for SMA syndrome often fails, and laparoscopic duodenojejunostomy proves to be safe and effective as optimal definitive treatment. Objectives: Identify key history and physical exam features of superior mesenteric artery syndrome.

Nov 6, 2016 · Conservative initial treatment is recommended in all patients with superior mesenteric artery syndrome; this includes adequate nutrition, nasogastric decompression, and proper positioning of the patient after eating (i.e., left lateral decubitus, prone, knee-to-chest position, or Goldthwaite maneuver) Enteral feeding using a double lumen ...

Oct 17, 2020 · While in the hospital, people who have SMA learn the maneuvers they need to perform to keep food down, the left lateral decubitus (lying on the left side), prone (lying on the stomach), and knee-to-chest positions, and the Goldthwaite maneuver (raising the right leg).

Conservative initial treatment is recommended in all patients with SMA syndrome; this includes adequate nutrition, nasogastric decompression, and proper positioning of the patient after eating...

Sep 1, 2022 · Superior mesenteric artery (SMA) syndrome is a rare cause of duodenal obstruction that can go undiagnosed, exacerbating weight loss in an already significantly malnourished patient. Diagnosis is often challenging, however, can be made by keeping a high index of suspicion based on the clinical presentation.

A Hayes maneuver, which corresponds to applying pressure below the umbilicus in cephalad and dorsal direction, elevates the root of the SMA, also slightly easing the constriction. Symptoms can be aggravated when leaning to the right or taking a face up position.

Conservative initial therapy is recommended in most patients with superior mesenteric artery syndrome; including adequate nutrition, nasogastric decompression, and proper positioning in the patient after consuming (ie, left lateral decubitus, prone, knee-to-chest position, or Goldthwaite maneuver) Enteral feeding utilizing a double lumen ...

Jul 20, 2024 · Superior mesenteric artery (SMA) syndrome, also known as Wilkie syndrome, cast syndrome or aortomesenteric duodenal compression syndrome, is a rare acquired vascular compression disorder in which acute angulation of the superior mesenteric artery (SMA) results in compression of the third part of the duodenum, leading to obstruction.

Jun 27, 2022 · Superior mesenteric artery (SMA) syndrome is a rare cause of duodenal obstruction that can go undiagnosed, exacerbating weight loss in an already significantly malnourished patient.

Mar 29, 2019 · The hospital also told me to do the Goldthwaite maneuver stretches after eating. I did everything I knew to do plus stretching and lost more weight upon leaving the hospital. There have been moments of frustration where I just have a nice meal even though I know that it’s probably not going to stay down.