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Anyone else have Superior Mesenteric Artery Syndrome (SMAS)?
"With only about 500 reported cases in the history of English-language medical literature, recognition of SMA syndrome as a distinct clinical entity is controversial, with some in the medical community doubting its existence entirely. SMA syndrome is also known as Wilkie's syndrome, cast syndrome, mesenteric root syndrome, chronic duodenal ileus and intermittent arterio-mesenteric occlusion. It is distinct from Nutcracker syndrome, which is the entrapment of the left renal vein between the AA and the SMA.
SMA syndrome is estimated to have a mortality rate of 1 in 3. Delay in the diagnosis of SMA syndrome can result in fatal catabolysis (advanced malnutrition), dehydration, oliguria, electrolyte abnormalities, hypokalemia, acute gastric rupture or intestinal perforation (from prolonged mesenteric ischemia), gastrectasia, spontaneous upper gastrointestinal bleeding, hypovolemic shock, aspiration pneumonia, or sudden cardiovascular collapse from increased velocity of bloodflow in the SMA due to the reduced mesenteric angle. Go here to this link to know about my fight http://rare-disease-day-belfast-2011.blogspot.com/2011/02/paula-mattis-is-real-super-hero-she.html
Superior mesenteric artery (SMA) syndrome is a very rare condition characterized by recurrent vomiting, abdominal distention, weight loss, and postprandial distress. The cause is compression of the duodenum between vessels and the vertebrae and paravertebrae muscles when the angle between the superior mesenteric vessels and the aorta is lower than 18°. The diagnosis is difficult and usually is made by exclusion. Conservative management is helpful at first; however, symptom recurrence would indicate surgical treatment. EVERY LIFE COUNTS Let's get people the Public, Doctors start taking this more seriously and get Awareness/Prevention, researching possible causes and work towards early detection
Thanks, Paula
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Hello @gregh
I was thinking about your daughter and wondering how she is doing now. How is she doing with the TPN? Was she able to get an appointment at Mayo?
If you are comfortable providing us with an update, we would appreciate hearing from you.
Teresa
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1 ReactionHi I am just seeing this and wondering if anyone has told you this is could be a vascular disease? My superior mesenteric artery and celiac artery were compressed by my diaphragm. Is that what you daughter has going on with the SMA? My GI dr at Mayo really was of no help. My vascular surgeon was excellent. They problem is that along with the vascular issues, I truly believe that it causes all other GI symptoms. If you look at MALS topics and groups you may see a lot of similarities. Well good luck to you, I understand your frustration. I have had 3 surgeries and diagnosis and still not sure of other GI symptoms. You think you find an answer, but then there is something else....Hang in there
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4 ReactionsHi @sharronbz,
I came across this journal article about Ladd's Procedure, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3073800/ which states, "Adhesion-related obstruction is the most common and significant postoperative complication [7]. Adhesion-related obstruction is mostly happening within the first postoperative year but can occur at any time."
I was wondering if bowel obstruction has been ruled out as the cause of pain for your son?
Hello @gregh
So glad that your doctor is able to assist you! Thank you for the update - we look forward to hearing from you again.
Teresa
Thank you, @gregh. We are confident that sharing your daughter's journey is going to be a means to help and support others on theirs.
Just a quick update.....had our appointment with the doctor yesterday. She is down a couple more pounds and they are scheduling her to get a TPN. Her doctor got all the information I had about the referral and said he was going to get his assistant on it immediately. So we will wait to see what happens. Thank you for the info.....I will update as we get new info. Maybe it will help someone else.....
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3 ReactionsAs an update, it was the Gastroenterology Department that she spoke with that couldn’t/wouldn’t help her. That is one of the reasons this has been so disheartening. I guess we all thought that when they told her to call for an appointment we were on our way to getting healthy. It got her hopes up, only to have them completely destroyed. And this isn’t the first time. She was in the hospital for three weeks last year. That was when we finally got a diagnosis and then she got her feeding tube. Unfortunately, the tube doesn’t seem to be the answer for her. The next procedure is the TPN I guess. Now, I know I’m not the sharpest knife in the drawer, but I would think that a diagnosed case of one of, if not the rarest gastro diseases around would be of interest to someone. At any rate, the appointment with her doctor here is this coming Tuesday. My wife and I both are going with her.
Fingers crossed..........
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1 ReactionHi Greg,
I agree, that getting a referral from her physician in Atlanta is probably is a good course of action. I'm so glad that your daughter has both you and her doctor advocating with her.
You may also wish to discuss the frustrating experience you had to the Florida Office of Patient Experience. Please call them during weekday business hours at 904-953-2019.
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2 Reactions@gregh Good to hear Greg. This doctor in Atlanta sounds marvelous. It is hard to find doctors with that kind of compassion and intuitiveness.
We are wishing you and your daughter the best!
Teresa
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2 ReactionsThat is the plan right now. We have already identified all the info that the clinic will want from him to refer her. I know he will do whatever it takes or just about whatever we ask him to do. He is a wonderful doctor. The only doctor that believed her and didn’t give up on her. Ever. I will definitely advise you of the outcome.
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