PDF(Pubmed)
Abstract：
Superior mesenteric artery (SMA) syndrome, also known as Wilkie\'s syndrome, poses a diagnostic challenge due to its rarity and varied clinical manifestations. This review explores the syndrome\'s etiology, symptoms, diagnostic challenges, and management strategies. Symptoms range from early satiety to severe abdominal pain, often leading to malnutrition. Diagnosis involves a thorough gastrointestinal evaluation and various imaging modalities. Management includes medical interventions like nasogastric decompression and nutritional support, along with surgical interventions such as duodenojejunostomy. A thorough understanding of SMA syndrome\'s complexities is crucial for its timely diagnosis and effective management, especially considering its potential overlap with other gastrointestinal disorders or eating disorders. Further research is needed to enhance understanding and improve patient outcomes.
摘要：
肠系膜上动脉（SMA）综合征，也被称为威尔基综合征,由于其罕见且临床表现多样，因此构成了诊断挑战。这篇综述探讨了该综合征的病因，症状,诊断挑战，和管理策略。症状从早期饱腹感到严重腹痛，往往导致营养不良。诊断涉及彻底的胃肠道评估和各种成像方式。管理包括医疗干预，如鼻胃减压和营养支持，以及十二指肠空肠造口术等外科手术。全面了解SMA综合征的复杂性对其及时诊断和有效管理至关重要。特别是考虑到它与其他胃肠道疾病或饮食失调的潜在重叠。需要进一步的研究来增进理解并改善患者的预后。
