{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:24:46Z","timestamp":1790727886137,"version":"4.1.0"},"reference-count":75,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,8,20]],"date-time":"2013-08-20T00:00:00Z","timestamp":1376956800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:p>The superior mesenteric artery (SMA) syndrome is a rare but potentially life\u2010threatening gastrointestinal condition. Over the years, it has been referenced by several names, the most common of which is Wilkie's syndrome. These numerous terminologies have made it difficult to estimate its true frequency in the general population. Common symptoms associated with this syndrome include intermittent postprandial abdominal pain, nausea, and bilious vomiting. Our review revealed that although it is currently well\u2010defined in the literature, the diagnosis of SMA syndrome remains challenging as other disorders can mimic its presentation. However, CT angiography is currently favored in the literature for diagnosis as it can not only show the narrowed aorto\u2010mesenteric angle and distance, but also the extent of duodenal obstruction. In addition, we found no consensus on the preferred mode of therapy once SMA syndrome is diagnosed. The agreement among authors is that the treatment options should be based on severity of the disease, using conservative measures as the first line of therapy in mild SMA syndrome. Duodenojejunostomy is the preferred surgical approach when conservative management fails, or in severe cases. Clin. Anat. 27:1244\u20131252, 2014. \u00a9 2013 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ca.22249","type":"journal-article","created":{"date-parts":[[2013,8,20]],"date-time":"2013-08-20T08:50:49Z","timestamp":1376988649000},"page":"1244-1252","source":"Crossref","is-referenced-by-count":72,"title":["Superior mesenteric artery syndrome and its associated gastrointestinal implications"],"prefix":"10.1002","volume":"27","author":[{"given":"Njambi","family":"Mathenge","sequence":"first","affiliation":[{"name":"Department of Anatomical Sciences School of Medicine St. George's University Grenada West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Osiro","sequence":"additional","affiliation":[{"name":"Department of Anatomical Sciences School of Medicine St. George's University Grenada West Indies"},{"name":"Department of Medicine Woodhull Medical and Mental Health Center Brooklyn New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iliana I.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Anatomical Sciences School of Medicine St. George's University Grenada West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Salib","sequence":"additional","affiliation":[{"name":"Department of Anatomical Sciences School of Medicine St. George's University Grenada West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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