Korean J Gastroenterol.  2016 Jun;67(6):321-326. 10.4166/kjg.2016.67.6.321.

Superior Mesenteric Artery Syndrome Treated with Percutaneous Radiologic Gastrojejunostomy

• Choi JW
• Lee JY
• Cho HG

• KMID: 2307759
• DOI: http://doi.org/10.4166/kjg.2016.67.6.321

Abstract

Superior mesenteric artery (SMA) syndrome is a rare condition that must be differentiated from other gastrointestinal diseases manifesting as upper abdominal pain, nausea, or vomiting. The description of SMA syndrome is compression of the third portion of the duodenum by the SMA and the abdominal aorta. SMA syndrome is managed with nasoenteral nutrition or surgical strategies such as laparoscopic duodenojejunostomy. However, SMA syndrome treated using enteral nutrition by percutaneous radiologic gastrojejunostomy has not been reported. Here, we report our experience of successfully managing a case of SMA syndrome with percutaneous radiologic gastrojejunostomy.

Keyword

Superior mesenteric artery syndrome; Duodenal obstruction; Enteral nutrition; Gastrojejunostomy

MeSH Terms

Abdominal Pain
Aorta, Abdominal
Duodenal Obstruction
Duodenum
Enteral Nutrition
Gastric Bypass*
Gastrointestinal Diseases
Mesenteric Artery, Superior*
Nausea
Superior Mesenteric Artery Syndrome*
Vomiting