title: Successful nutritional therapy for superior mesenteric artery syndrome.
abstract: Superior mesenteric artery (SMA) syndrome is an uncommon cause of duodenal outlet obstruction. Symptoms and signs suggestive of this condition are nonspecific, and a high index of suspicion coupled with appropriate imaging studies are necessary for diagnosis. We present the case of a 70-year-old man who developed SMA syndrome following prolonged hospitalisation for a surgically treated bleeding duodenal ulcer. His SMA syndrome resolved after successful nonoperative management based on accepted guidelines for nutritional therapy, thus avoiding the need for reoperation and its attendant risks in a malnourished patient.
authors.affiliation: Department of General Surgery, University Surgical Cluster, National University Hospital, Singapore 119074. dedrick_kh_chan@nuhs.edu.sg
authors.forename: Dedrick Kok Hong
authors.initials: DK
authors.lastname: Chan
authors.forename: Kenneth Seck Wai
authors.initials: KS
authors.lastname: Mak
authors.forename: Yee Lee
authors.initials: YL
authors.lastname: Cheah
mesh_terms: D000368:Aged; D004380:Duodenal Obstruction / Q000188:drug therapy; D004381:Duodenal Ulcer / Q000150:complications / Q000601:surgery; D004724:Endoscopy; D006760:Hospitalization; D006801:Humans; D008297:Male; D044342:Malnutrition; D044623:Nutrition Therapy / Q000379:methods*; D055677:Refeeding Syndrome / Q000175:diagnosis; D013478:Superior Mesenteric Artery Syndrome / Q000178:diet therapy*; D016896:Treatment Outcome