Wilkie s Syndrome or Superior Mesenteric Artery Syndrom. The minimally invasive approach a challenging experience or a gold standard procedure?
EAES Academy. Faur F. 07/05/22; 363195; P259
Dr. Flaviu Ionut Faur
Contributions
Contributions
Abstract
Superior mesenteric artery (SMA) syndrome (known as Wilkie's syndrome or Cast syndrome) is a rare cause of upper gastrointestinal obstruction. It is an acquired disorder in which acute angulation of the SMA causes compression of the third part of the duodenum between the SMA and the aorta. This is commonly due to loss of fatty tissue as a result of a variety of debilitating conditions. Surgeries for spinal deformities as well as high insertion of the ligament of Treitz are other potential causes for the occurrence of SMA syndrome. Loss of retroperitoneal fatty tissue as a result of this variety of conditions is believed to be the etiologic factor causing the acute angulation. Symptoms vary from postprandial nausea and bilious vomiting to abdominal pain as well as weight loss and can occur acutely or chronically . The severity of the symptoms largely depends on the degree of the compression as reflected by the aortomesenteric angle.
In this paper 5 patients were included with of symptoms of duodenal obstruction. The approach in these patients was a laparoscopic one, the Gerssin-Heinford technique. The evolutionary dynamics of the cases was favorable with the restoration of the metabolic norms. The evolutionary dynamics of the cases was favorable with the restoration of the metabolic norms. We will present in detail the demographic characteristics of the study group as well as the analysis of some parameters with important impact in the evolution of the cases, respectively the statistically significant criteria.
In this paper 5 patients were included with of symptoms of duodenal obstruction. The approach in these patients was a laparoscopic one, the Gerssin-Heinford technique. The evolutionary dynamics of the cases was favorable with the restoration of the metabolic norms. The evolutionary dynamics of the cases was favorable with the restoration of the metabolic norms. We will present in detail the demographic characteristics of the study group as well as the analysis of some parameters with important impact in the evolution of the cases, respectively the statistically significant criteria.
Superior mesenteric artery (SMA) syndrome (known as Wilkie's syndrome or Cast syndrome) is a rare cause of upper gastrointestinal obstruction. It is an acquired disorder in which acute angulation of the SMA causes compression of the third part of the duodenum between the SMA and the aorta. This is commonly due to loss of fatty tissue as a result of a variety of debilitating conditions. Surgeries for spinal deformities as well as high insertion of the ligament of Treitz are other potential causes for the occurrence of SMA syndrome. Loss of retroperitoneal fatty tissue as a result of this variety of conditions is believed to be the etiologic factor causing the acute angulation. Symptoms vary from postprandial nausea and bilious vomiting to abdominal pain as well as weight loss and can occur acutely or chronically . The severity of the symptoms largely depends on the degree of the compression as reflected by the aortomesenteric angle.
In this paper 5 patients were included with of symptoms of duodenal obstruction. The approach in these patients was a laparoscopic one, the Gerssin-Heinford technique. The evolutionary dynamics of the cases was favorable with the restoration of the metabolic norms. The evolutionary dynamics of the cases was favorable with the restoration of the metabolic norms. We will present in detail the demographic characteristics of the study group as well as the analysis of some parameters with important impact in the evolution of the cases, respectively the statistically significant criteria.
In this paper 5 patients were included with of symptoms of duodenal obstruction. The approach in these patients was a laparoscopic one, the Gerssin-Heinford technique. The evolutionary dynamics of the cases was favorable with the restoration of the metabolic norms. The evolutionary dynamics of the cases was favorable with the restoration of the metabolic norms. We will present in detail the demographic characteristics of the study group as well as the analysis of some parameters with important impact in the evolution of the cases, respectively the statistically significant criteria.
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