Superior mesenteric artery syndrome in a diabetic patient
- Date:
- January 15, 2010
- Source:
- World Journal of Gastroenterology
- Summary:
- A research team from Taiwan reported a 41-year-old man with poorly controlled diabetic mellitus who developed superior mesenteric artery (SMA) syndrome due to rapid weight loss. The importance of this case report is that SMA syndrome should be ruled out in diabetic patients with body weight loss and gastrointestinal symptoms.
- Share:
Diabetes mellitus is one of the most common chronic disease of the world and the prevalence of diabetes mellitus is over 10% in Taiwan. Gastroparesis is reported in 5% to 12% of diabetic patients. Superior mesenteric artery (SMA) syndrome is an uncommon disease resulting compression of the third portion of the duodenum from the superior mesenteric artery. However, SMA syndrome can cause the same symptoms as diabetic gastroparesis.
A research team, led by Dr. Wen-Ming Wang from Kaohsiung Medical University Hospital reported a rare etiology of superior mesenteric artery syndrome.
Their report suggest that diabetic patients with gastrointestinal symptoms and bodyweight loss should be considered for SMA syndrome, despite the gastroparesis is the most common etiology. Computed tomography and upper gastrointestinal series are the reliable tools for diagnosis. Adequate nutrition supply is a useful treatment and the aim is bodyweight gain and symptom relief. Surgery is indicated when conservative treatment fails.
Story Source:
Materials provided by World Journal of Gastroenterology. Note: Content may be edited for style and length.
Journal Reference:
- Wu et al. Superior mesenteric artery syndrome in a diabetic patient with acute weight loss. World Journal of Gastroenterology, 2009; 15 (47): 6004 DOI: 10.3748/wjg.15.6004
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