Chronic Superior Mesenteric Artery Syndrome in Anorexia Nervosa

1992 ◽  
Vol 160 (4) ◽  
pp. 552-554 ◽  
Author(s):  
Mostafa H. Elbadaway
Keyword(s):  
Weight Loss ◽  
Anorexia Nervosa ◽  
British Journal ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Superior Mesenteric Artery Syndrome

An 18-year-old woman presented with SMAS: an additional diagnosis of anorexia nervosa was later made. Both conditions should be considered when an adolescent presents with weight loss and vomiting.British Journal of Psychiatry (1992), 160, 552–554

The Superior-Mesenteric-Artery Syndrome

1978 ◽  
Vol 23 (5) ◽  
pp. 325-327 ◽  
Author(s):  
Arthur P. Froese ◽  
Julio Szmuilowicz ◽  
John D. Bailey
Keyword(s):  
Weight Loss ◽  
Anorexia Nervosa ◽  
Case Report ◽  
Small Bowel ◽  
Superior Mesenteric Artery ◽  
Medical Management ◽  
Mesenteric Artery ◽  
Superior Mesenteric Artery Syndrome ◽  
Acute Form ◽  
Acute Small Bowel Obstruction

The so-called superior-mesenteric-artery syndrome is not mentioned in psychiatric journals or books. Yet two variations of the condition have been described. In its acute form, it can be mistaken for psychogenic vomiting in anorexic patients, while its chronic intermittent form is readily misdiagnosed as anorexia nervosa. The case report is of a 16-year-old boy admitted for investigation and treatment of severe weight loss. He initially responded to a modified behaviour program, but within days developed an acute small-bowel obstruction. Superior-mesenteric-artery syndrome was diagnosed and he improved with appropriate medical management. This condition needs to be considered by the psychiatrist who otherwise might not differentiate it from the symptoms of anorexia nervosa.

scholarly journals A clinical course of a patient with anorexia nervosa receiving surgery for superior mesenteric artery syndrome

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Ken Kurisu ◽  
Yukari Yamanaka ◽  
Tadahiro Yamazaki ◽  
Ryo Yoneda ◽  
Makoto Otani ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Anorexia Nervosa ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Rare Complication ◽  
Nutrition Therapy ◽  
Psychological Status ◽  
Sma Syndrome

Abstract Background Superior mesenteric artery (SMA) syndrome is a well-known but relatively rare complication of anorexia nervosa. Although several reports have proposed surgery for SMA syndrome associated with anorexia nervosa, these have shown poor outcomes or did not reveal the long-term weight course. Thus, the long-term effectiveness of surgery for SMA syndrome in such cases remains unclear. This case report describes a patient with anorexia nervosa who underwent surgery for SMA syndrome. Case presentation An 18-year-old woman presented with anorexia nervosa when she was 16 years old. She also presented with SMA syndrome, which seemed to be caused by weight loss due to the eating disorder. Nutrition therapy initially improved her body weight, but she ceased treatment. She reported that symptoms related to SMA syndrome had led to her weight loss and desired to undergo surgery. Laparoscopic duodenojejunostomy was performed, but her body weight did not improve after the surgery. The patient eventually received conservative nutritional treatment along with psychological approaches, which led to an improvement in her body weight. Conclusions The case implies that surgery for SMA syndrome in patients with anorexia nervosa is ineffective for long-term weight recovery and that conservative treatment can sufficiently improve body weight; this is consistent with the lack of evidence on the topic and reports on potential complications of surgery. Due to difficulties in assessing psychological status, consultation with specialists on eating disorders is necessary for treating patients with severely low body weight.

Superior mesenteric artery syndrome presenting as an anorexia nervosa-like illness

1988 ◽  
Vol 9 (4) ◽  
pp. 340-343 ◽  
Author(s):  
Perez Kornmehl ◽  
Zvi Weizman ◽  
Zvi Liss ◽  
Jacob Bar-Ziv ◽  
Amiram Joseph
Keyword(s):  
Anorexia Nervosa ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Superior Mesenteric Artery Syndrome

scholarly journals Mitochondrial disease: an uncommon but important cause of diabetes mellitus

2018 ◽  
Vol 2018 ◽  
Author(s):  
Ming Li Yee ◽  
Rosemary Wong ◽  
Mineesh Datta ◽  
Timothy Nicholas Fazio ◽  
Mina Mohammad Ebrahim ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Weight Loss ◽  
Lactic Acidosis ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mitochondrial Disorder ◽  
Superior Mesenteric Artery Syndrome ◽  
List Type ◽  
Presenting Symptoms ◽  
History Of

Summary Mitochondrial diseases are rare, heterogeneous conditions affecting organs dependent on high aerobic metabolism. Presenting symptoms and signs vary depending on the mutation and mutant protein load. Diabetes mellitus is the most common endocrinopathy, and recognition of these patients is important due to its impact on management and screening of family members. In particular, glycemic management differs in these patients: the use of metformin is avoided because of the risk of lactic acidosis. We describe a patient who presented with gradual weight loss and an acute presentation of hyperglycemia complicated by the superior mesenteric artery syndrome. His maternal history of diabetes and deafness and a personal history of hearing impairment led to the diagnosis of a mitochondrial disorder. Learning points: The constellation of diabetes, multi-organ involvement and maternal inheritance should prompt consideration of a mitochondrial disorder. Mitochondrial encephalomyopathy, lactic acidosis, stroke-like episodes (MELAS) and maternally inherited diabetes and deafness (MIDD) are the most common mitochondrial diabetes disorders caused by a mutation in m.3243A>G in 80% of cases. Metformin should be avoided due to the risk of lactic acidosis. There is more rapid progression to insulin therapy and higher prevalence of diabetic complications compared to type 2 diabetes. Diagnosis of a mitochondrial disorder leads to family screening, education and surveillance for future complications. Superior mesenteric artery syndrome, an uncommon but important cause of intestinal pseudo-obstruction in cases of significant weight loss, has been reported in MELAS patients.

scholarly journals Superior mesenteric artery syndrome caused by weight loss in a malnourished Syrian man

2018 ◽  
Vol 7 (3) ◽  
pp. 223-225 ◽  
Author(s):  
Ziad Aljarad ◽  
Nihad Mahli ◽  
Mahmoud Nasser ◽  
Majd Alobied ◽  
Mamdouh Alkhaled ◽  
...  
Keyword(s):  
Weight Loss ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Superior Mesenteric Artery Syndrome
Sign in / Sign up

Export Citation Format

Share Document