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

Archana Roy; Justin J. Gisel; Vivek Roy; Ernest Peter Bouras

doi:10.1007/s11606-005-0237-7

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

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

Research output: Contribution to journal › Article › peer-review

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 language	English (US)
Pages (from-to)	C3-C4
Journal	Journal of general internal medicine
Volume	20
Issue number	10
DOIs	https://doi.org/10.1007/s11606-005-0237-7
State	Published - Oct 2005

Keywords

Cardiac cachexia
enteral feeding
SMA syndrome
upper gastrointestinal obstruction
weight loss

ASJC Scopus subject areas

Internal Medicine

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10.1007/s11606-005-0237-7

Cite this

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title = "Superior mesenteric artery (Wilkie{\textquoteright}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 Peter}",

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AU - Gisel, Justin J.

AU - Roy, Vivek

AU - Bouras, Ernest Peter

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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.

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

Abstract

Keywords

ASJC Scopus subject areas

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