Superior mesenteric artery syndrome
MONDO:0002687Superior mesenteric artery syndrome (SMAS) is a digestive condition that occurs when the duodenum (the first part of the small intestine) is compressed between two arteries (the aorta and the superior mesenteric artery). This compression causes partial or complete blockage of the duodenum. Symptoms vary based on severity, but can be severely debilitating. Symptoms may include abdominal pain, fullness, nausea, vomiting, and/or weight loss. SMAS typically is due toloss 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. In younger patients, it most commonly occurs after corrective spinal surgery for scoliosis. Delays in diagnosis may result in significant complications. Depending on the cause and severity, treatment options may include addressing the underlying cause, dietary changes (small feedings or a liquid diet), and/or surgery. Symptoms may not resolve completely after treatment.
Also known as: superior mesenteric artery syndrome, superior mesenteric artery syndromic disease, syndromic disease of superior mesenteric artery, Arteriomesenteric duodenal compression syndrome, Cast syndrome, Wilkie syndrome, vascular compression of the duodenum
14 clinical trials for this condition and its sub-types.
Follow this condition — get notified about new trialsBroader categories
-
Rare gut condition: which surgery works best?
Disease control CompletedThis study compares two surgeries—One Anastomosis Gastric Bypass and Duodenojejunostomy—for treating Superior Mesenteric Artery Syndrome (SMAS), a rare condition where the duodenum is compressed, causing severe nausea, vomiting, and weight loss. Twenty participants were randomly …
Phase: NA • Sponsor: Ain Shams University • Aim: Disease control
Last updated Jun 27, 2026 08:02 UTC
-
Which scope is safer for kids? new study compares balloon enteroscopy methods
Diagnosis CompletedThis study looked at 208 children who had a procedure called balloon enteroscopy to find problems in the small intestine. Researchers compared two types—single-balloon and double-balloon—to see which one worked better and was safer. The goal was to help doctors choose the best me…
Sponsor: Shandong University • Aim: Diagnosis
Last updated Jun 27, 2026 09:05 UTC
-
Heart surgery study seeks to pinpoint protection window
Knowledge-focused CompletedThis study looked at 80 adults having heart valve or aortic surgery to find out how long a special heart protection solution (Del Nido cardioplegia) keeps the heart safe during surgery. Researchers took blood samples at set times to see when heart injury began. The goal was to le…
Sponsor: Muhammet Talha Ceran, MD • Aim: Knowledge-focused
Last updated Jun 27, 2026 12:07 UTC
-
Capsule camera data could sharpen disease detection
Knowledge-focused CompletedThis completed observational study collected over 3,700 PillCam SB3 capsule endoscopy videos from standard care procedures. The goal was to build a large database of images showing both normal and diseased small intestine tissue. Researchers will use this data to develop and vali…
Sponsor: Medtronic - MITG • Aim: Knowledge-focused
Last updated Jun 27, 2026 07:55 UTC