Superior mesenteric artery (Wilkie's) syndrome as a result of cardiac cachexia

Archana Roy, Justin J. Gisel, Vivek Roy, Ernest P. Bouras

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Superior mesenteric artery (SMA) syndrome is a rare acquired disorder in which acute angulation of SMA causes compression of the third part of the duodenum between the SMA and the aorta, leading to obstruction. Loss of fatty tissue as a result of a variety of debilitating conditions is believed to be the etiologic factor causing the acute angulation. We report a case of an 86-year-old man with prolonged congestive heart failure and aortic stenosis in which SMA syndrome developed as a result of cardiac cachexia. Because of poor functional status and comorbidities, he was not a suitable candidate for decompressive surgery. Conservative treatment using a gastrostomy tube with jejunal extension led to improvement in nutritional status and resolution of symptoms.

Original languageEnglish (US)
JournalJournal of General Internal Medicine
Volume20
Issue number10
DOIs
StatePublished - Oct 2005

Fingerprint

Superior Mesenteric Artery Syndrome
Cachexia
Superior Mesenteric Artery
Gastrostomy
Aortic Valve Stenosis
Nutritional Status
Duodenum
Aorta
Adipose Tissue
Comorbidity
Heart Failure

Keywords

  • Cardiac cachexia
  • Enteral feeding
  • SMA syndrome
  • Upper gastrointestinal obstruction
  • Weight loss

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Superior mesenteric artery (Wilkie's) syndrome as a result of cardiac cachexia. / Roy, Archana; Gisel, Justin J.; Roy, Vivek; Bouras, Ernest P.

In: Journal of General Internal Medicine, Vol. 20, No. 10, 10.2005.

Research output: Contribution to journalArticle

Roy, Archana ; Gisel, Justin J. ; Roy, Vivek ; Bouras, Ernest P. / Superior mesenteric artery (Wilkie's) syndrome as a result of cardiac cachexia. In: Journal of General Internal Medicine. 2005 ; Vol. 20, No. 10.
@article{a5f605a90ce0472fa549201a13279b87,
title = "Superior mesenteric artery (Wilkie's) syndrome as a result of cardiac cachexia",
abstract = "Superior mesenteric artery (SMA) syndrome is a rare acquired disorder in which acute angulation of SMA causes compression of the third part of the duodenum between the SMA and the aorta, leading to obstruction. Loss of fatty tissue as a result of a variety of debilitating conditions is believed to be the etiologic factor causing the acute angulation. We report a case of an 86-year-old man with prolonged congestive heart failure and aortic stenosis in which SMA syndrome developed as a result of cardiac cachexia. Because of poor functional status and comorbidities, he was not a suitable candidate for decompressive surgery. Conservative treatment using a gastrostomy tube with jejunal extension led to improvement in nutritional status and resolution of symptoms.",
keywords = "Cardiac cachexia, Enteral feeding, SMA syndrome, Upper gastrointestinal obstruction, Weight loss",
author = "Archana Roy and Gisel, {Justin J.} and Vivek Roy and Bouras, {Ernest P.}",
year = "2005",
month = "10",
doi = "10.1111/j.1525-1497.2005.0201.x",
language = "English (US)",
volume = "20",
journal = "Journal of General Internal Medicine",
issn = "0884-8734",
publisher = "Springer New York",
number = "10",

}

TY - JOUR

T1 - Superior mesenteric artery (Wilkie's) syndrome as a result of cardiac cachexia

AU - Roy, Archana

AU - Gisel, Justin J.

AU - Roy, Vivek

AU - Bouras, Ernest P.

PY - 2005/10

Y1 - 2005/10

N2 - Superior mesenteric artery (SMA) syndrome is a rare acquired disorder in which acute angulation of SMA causes compression of the third part of the duodenum between the SMA and the aorta, leading to obstruction. Loss of fatty tissue as a result of a variety of debilitating conditions is believed to be the etiologic factor causing the acute angulation. We report a case of an 86-year-old man with prolonged congestive heart failure and aortic stenosis in which SMA syndrome developed as a result of cardiac cachexia. Because of poor functional status and comorbidities, he was not a suitable candidate for decompressive surgery. Conservative treatment using a gastrostomy tube with jejunal extension led to improvement in nutritional status and resolution of symptoms.

AB - Superior mesenteric artery (SMA) syndrome is a rare acquired disorder in which acute angulation of SMA causes compression of the third part of the duodenum between the SMA and the aorta, leading to obstruction. Loss of fatty tissue as a result of a variety of debilitating conditions is believed to be the etiologic factor causing the acute angulation. We report a case of an 86-year-old man with prolonged congestive heart failure and aortic stenosis in which SMA syndrome developed as a result of cardiac cachexia. Because of poor functional status and comorbidities, he was not a suitable candidate for decompressive surgery. Conservative treatment using a gastrostomy tube with jejunal extension led to improvement in nutritional status and resolution of symptoms.

KW - Cardiac cachexia

KW - Enteral feeding

KW - SMA syndrome

KW - Upper gastrointestinal obstruction

KW - Weight loss

UR - http://www.scopus.com/inward/record.url?scp=28444439572&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=28444439572&partnerID=8YFLogxK

U2 - 10.1111/j.1525-1497.2005.0201.x

DO - 10.1111/j.1525-1497.2005.0201.x

M3 - Article

C2 - 16191148

AN - SCOPUS:28444439572

VL - 20

JO - Journal of General Internal Medicine

JF - Journal of General Internal Medicine

SN - 0884-8734

IS - 10

ER -