{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:31Z","timestamp":1782384631008,"version":"3.54.5"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Superior mesenteric artery (SMA) syndrome is a rare cause of proximal intestinal obstruction resulting from compression of the third portion of the duodenum between the aorta and the SMA. It most commonly occurs in slender individuals or those experiencing rapid weight loss, but presentations can be atypical and diagnostically challenging. We report the case of a 28-year-old female with history of postural orthostatic tachycardia syndrome and gastroparesis who presented with recurrent nausea and intractable vomiting following a 110-lb weight loss after prior obesity. Upper gastrointestinal endoscopy and gallbladder ultrasonography were unremarkable. Computed tomography of the abdomen demonstrated findings consistent with SMA syndrome, including severe narrowing of the aortomesenteric angle and reduced aortomesenteric distance. The patient subsequently underwent robotic-assisted duodenojejunostomy with resolution of symptoms. This case highlights an atypical presentation of SMA syndrome following massive weight loss and demonstrates the feasibility of robotic duodenojejunostomy as an effective treatment option.<\/jats:p>","DOI":"10.1093\/jscr\/rjag471","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T17:49:34Z","timestamp":1781545774000},"source":"Crossref","is-referenced-by-count":0,"title":["Robotic management of superior mesenteric artery syndrome after weight loss: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Cristina","family":"Kontogiannis","sequence":"first","affiliation":[{"name":"College of Osteopathic Medicine, University of New England , 11 Hills Beach Road, Biddeford, ME 04005 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami","family":"Asif","sequence":"additional","affiliation":[{"name":"Rowan-Virtua School of Osteopathic Mediciney , 42 E. Laurel Rd, Stratford, NJ 08084 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Kharod","sequence":"additional","affiliation":[{"name":"Department of Surgery, Centrastate Medical Center , 901 West Main Street, Freehold, NJ 07728 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"2026062506215135700_ref1","doi-asserted-by":"publisher","first-page":"3369","DOI":"10.12998\/wjcc.v11.i15.3369","article-title":"Superior mesenteric artery syndrome: diagnosis and management","volume":"11","author":"Oka","year":"2023","journal-title":"World J Clin Cases"},{"key":"2026062506215135700_ref2","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1159\/000102097","article-title":"Recalling superior mesenteric artery syndrome","volume":"24","author":"Welsch","year":"2007","journal-title":"Dig Surg"},{"key":"2026062506215135700_ref3","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1186\/s40001-024-02002-3","article-title":"Superior mesenteric artery syndrome following spine surgery in adolescent idiopathic scoliosis: a systematic review","volume":"29","author":"Pappalardo","year":"2024","journal-title":"Eur J Med Res"},{"key":"2026062506215135700_ref4","first-page":"90","article-title":"Superior mesenteric artery syndrome: CT and ultrasonography findings","volume":"11","author":"Unal","year":"2005","journal-title":"Diagn Interv Radiol"},{"key":"2026062506215135700_ref5","first-page":"24","article-title":"Superior mesenteric artery syndrome: a nutrition-oriented review","volume":"220","author":"Hakimian","year":"2023","journal-title":"Pract Gastroenterol"},{"key":"2026062506215135700_ref6","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1186\/s13256-024-04703-z","article-title":"Superior mesenteric artery syndrome managed laparoscopically in accordance with the SCARE criteria","volume":"18","author":"Vakil","year":"2024","journal-title":"J Med Case Reports"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag471\/68609879\/rjag471.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag471\/68609879\/rjag471.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:22:03Z","timestamp":1782382923000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag471\/8708300"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag471","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag471"}}