{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T20:52:42Z","timestamp":1758401562821,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Superior mesenteric artery (SMA) syndrome is defined as a narrowed space and decreased angle between the SMA and aorta leading to partial or complete obstruction of the third portion of the duodenum. SMA syndrome patients may have comorbid conditions associated with extreme weight loss, hypermetabolism or malnutrition. We present the case of a 55-year-old male with SMA syndrome due to acute weight loss secondary to thyrotoxicosis. The patient was nutritionally optimized and euthyroid prior to undergoing a robotic-assisted duodenojejunostomy. In this patient, the thyrotoxicosis was controlled medically, and he remained euthyroid postoperatively. His duodenal obstruction was relieved by the operation and he continued to gain weight appropriately.<\/jats:p>","DOI":"10.1093\/jscr\/rjac428","type":"journal-article","created":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T20:34:47Z","timestamp":1663792487000},"source":"Crossref","is-referenced-by-count":3,"title":["Superior mesenteric artery syndrome secondary to thyrotoxicosis"],"prefix":"10.1093","volume":"2022","author":[{"given":"Abigail","family":"Jacobs","sequence":"first","affiliation":[{"name":"NYU Langone Long Island Hospital , Mineola, NY 11501 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tulio","family":"Brasileiro Silva Pacheco","sequence":"additional","affiliation":[{"name":"NYU Langone Long Island Hospital , Mineola, NY 11501 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Sohail","sequence":"additional","affiliation":[{"name":"NYU Langone Long Island Hospital , Mineola, NY 11501 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anirudha","family":"Goparaju","sequence":"additional","affiliation":[{"name":"NYU Langone Long Island Hospital , Mineola, NY 11501 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"volume-title":"StatPearls [Internet]","year":"2022","author":"Van Horne","key":"2022092120333759200_ref1"},{"key":"2022092120333759200_ref2","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s12876-019-0932-1","article-title":"Superior mesenteric artery syndrome coexists with nutcracker syndrome in a female: a case report","volume":"19","author":"Shi","year":"2019","journal-title":"BMC Gastroenterol"},{"key":"2022092120333759200_ref3","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1007\/s11605-018-3984-6","article-title":"Superior mesenteric artery syndrome: a prospective study in a single institution","volume":"23","author":"Ganss","year":"2019","journal-title":"J Gastrointest Surg"},{"key":"2022092120333759200_ref4","first-page":"827","article-title":"Superior mesenteric artery syndrome: an underrecognized entity in the trauma population","volume":"64","author":"Smith","year":"2008","journal-title":"J Trauma"},{"key":"2022092120333759200_ref5","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1097\/00005373-197211000-00008","article-title":"Superior mesenteric artery syndrome as a consequence of burn injury","volume":"12","author":"Reckler","year":"1972","journal-title":"J Trauma"},{"key":"2022092120333759200_ref6","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.soard.2020.09.038","article-title":"Laparoscopic duodenojejunostomy to manage small bowel obstruction due to superior mesenteric artery syndrome after roux-en-Y gastric bypass","volume":"17","author":"Andrew","year":"2021","journal-title":"Surg Obes Relat Dis"},{"key":"2022092120333759200_ref7","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1097\/00007611-199603000-00015","article-title":"Superior mesenteric artery syndrome in an intravenous drug abuser after rapid weight loss","volume":"89","author":"Barnes","year":"1996","journal-title":"South Med J"},{"key":"2022092120333759200_ref8","first-page":"628705","article-title":"Superior mesenteric artery syndrome: clinical and radiological considerations","volume":"2015","author":"Rabie","year":"2015","journal-title":"Surg Res Pract"},{"key":"2022092120333759200_ref9","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1007\/s00276-007-0238-9","article-title":"Measurement of the distance and angle between the aorta and superior mesenteric artery: normal values in different BMI categories","volume":"29","author":"Ozkurt","year":"2007","journal-title":"Surg Radiol Anat"},{"key":"2022092120333759200_ref10","first-page":"4033088","article-title":"Superior mesenteric artery syndrome: a community hospital case series","volume":"12","author":"Welch","year":"2021","journal-title":"Case Rep Vasc Med"},{"key":"2022092120333759200_ref11","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.ijscr.2019.12.043","article-title":"Historical terminology and superior mesenteric artery syndrome","volume":"67","author":"Yale","year":"2020","journal-title":"Int J Surg Case Rep"},{"key":"2022092120333759200_ref12","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.emc.2013.12.001","article-title":"Hyperthyroidism and thyrotoxicosis","volume":"32","author":"Devereaux","year":"2014","journal-title":"Emerg Med Clin North Am"},{"key":"2022092120333759200_ref13","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1097\/01.mpg.0000221888.36501.f2","article-title":"Superior mesenteric artery syndrome in children: a 20-year experience","volume":"42","author":"Biank","year":"2006","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"2022092120333759200_ref14","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1097\/00000658-195811000-00001","article-title":"Mechanics of arteriomesentric duodenal obstruction and direct surgical attack upon etiology","volume":"148","author":"STRONG","year":"1958","journal-title":"Ann Surg"},{"key":"2022092120333759200_ref15","doi-asserted-by":"crossref","first-page":"2029","DOI":"10.1007\/s00464-020-07598-1","article-title":"SMA syndrome: management perspective with laparoscopic duodenojejunostomy and long-term results","volume":"35","author":"Jain","year":"2021","journal-title":"Surg Endosc"}],"container-title":["Journal of Surgical Case 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