Superior mesenteric artery (SMA) syndrome occurs when the superior mesenteric artery compresses the third part of the duodenum, leading to partial or complete blockage of the small intestine. A detailed assessment can help identify the cause and guide appropriate treatment.
Detailed history, examination and vascular ultrasound
tailored to your specific findingsand goals.
experienced team in complex vacular management
conservative and interventional options when appropriate
Superior mesenteric artery syndrome (SMAS) is a rare condition where the superior mesenteric artery compresses the third part of the duodenum, the section of the small intestine that passes behind the artery.
This compression can cause partial or complete blockage, leading to symptoms such as abdominal pain, nausea, vomiting, bloating and difficulty gaining weight.
The SMA compresses the third part of the duodenum, causing a narrowing of the intestinal passage.
External pressure from surrounding left renal vein can restrict venous outflow contributing to kidney failure and pelvic congestion syndrome.
Can be triggered by rapid weight loss, certain surgeries, congenital factors or chronic conditions.
Symptoms can vary depending on whether the duodenum or vein is affected. Common symptoms include:
We take a comprehensive approach, combining your history and symptoms with a detailed clinical examination and targeted vascular ultrasound. In selected cases, further imaging such as CT scan or nerve conduction studies may be recommended to confirm the diagnosis and assess the degree of compression.
This compression can make it difficult for food and fluids to pass through the digestive tract, potentially leading to symptoms such as abdominal pain, bloating, nausea, vomiting, and feeling full quickly after eating. Symptoms may become more noticeable following meals, as food and fluid accumulate above the narrowed section of the intestine.
Treatment depends on the type and severity of your symptoms, We develop a personalised plan based on your diagnosis, lifestyle and goals.
Activity modification
diet modification
Monitoring Urine and Kidney Function
Enteral nutritional support
For select cases, we work closely with surgeons to organise surgical procedure reducing compression.
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