How is Wilkie syndrome treated?

How is Wilkie syndrome treated?

Wilkie’s syndrome is a rare cause of chronic duodenal ileus with no specific symptoms and diagnosis depends on a high index of suspicion. It is treated conservatively in the early stages while duodenojejunostomy is the operative treatment of choice.

What are the symptoms of SMAS?

Symptoms may include abdominal pain, fullness, nausea, vomiting, and/or weight loss. SMAS typically is due to loss of the mesenteric fat pad (fatty tissue that surrounds the superior mesenteric artery). The most common cause is significant weight loss caused by medical disorders, psychological disorders, or surgery.

Is superior mesenteric artery syndrome serious?

Superior Mesenteric Artery syndrome is a rare but potentially life threatening condition in which the duodenum becomes compressed between the SMA and the aorta. Early symptoms can include simply nausea and early satiety.

What causes Wilkie syndrome?

Wilkie’s syndrome is a rare cause of duodenal obstruction that can easily be missed at clinical practice. It is characterized by nausea, abdominal pain and vomit. It usually affects young adults, and it’s caused by a low aortomesenteric angle resulting in vascular compression of the duodenum.

What causes Wilkes syndrome?

Wilkie’s syndrome, also commonly known as superior mesenteric artery (SMA) syndrome, is an infrequent and rare cause of small bowel obstruction. It is caused by extrinsic compression of the duodenal segment of the intestine between the aorta and SMA, causing significant post-prandial abdominal pain and vomiting.

Can SMAS be cured?

It’s not currently possible to cure spinal muscular atrophy (SMA), but research is ongoing to find new treatments. Treatment and support is available to manage the symptoms and help people with the condition have the best possible quality of life.

What is Strong’s procedure?

Strong procedure – UpToDate. Strong procedure. Strong’s procedure mobilizes the duodenum by dividing the ligament of Treitz. Once the duodenal-jejunal junction is mobilized, the duodenum is positioned to the right of the superior mesenteric artery.

Is there such a thing as Wilkie’s syndrome?

Superior mesenteric artery (SMA) syndrome or Wilkie’s syndrome is a rare gastrointestinal disorder present in 0.013–0.3% of the general population [ 1 ]. It is characterized by the vascular compression of the duodenum between the aorta and the SMA.

How is Wilkie’s syndrome caused by the SMA?

Since Rokitansky first description in 1861, Wilkie’s syndrome is a rare cause of duodenal obstruction [ 4] caused by the compression of the third portion of the duodenum by the SMA or one of its branches against the aorta [ 5, 7 ].

What causes nausea and vomiting in Wilkie’s syndrome?

Wilkie’s syndrome is a rare cause of duodenal obstruction that can easily be missed at clinical practice. It is characterized by nausea, abdominal pain and vomit. It usually affects young adults, and it’s caused by a low aortomesenteric angle resulting in vascular compression of the duodenum.

What kind of ultrasound is used for Wilkies syndrome?

B-mode ultrasound imaging revealed evidence of a reduced angle between the aorta and the superior mesenteric artery, as found in Wilkie’s syndrome.