Which are the symptoms of Superior Mesenteric Artery Syndrome?

Symptoms of Superior Mesenteric Artery Syndrome

Superior Mesenteric Artery (SMA) Syndrome, also known as Wilkie's Syndrome, is a rare condition characterized by compression of the third portion of the duodenum (the first part of the small intestine) between the superior mesenteric artery and the abdominal aorta. This compression leads to a variety of symptoms that can significantly impact a person's quality of life.

1. Abdominal Pain: One of the most common symptoms of SMA Syndrome is severe and recurrent abdominal pain. The pain is typically located in the upper abdomen, around the navel or the epigastric region. It may be described as cramping, sharp, or colicky in nature. The pain often worsens after eating or drinking.

2. Nausea and Vomiting: Many individuals with SMA Syndrome experience persistent nausea and may have episodes of vomiting. This can be particularly problematic after meals, leading to weight loss and malnutrition.

3. Weight Loss: Due to the compression of the duodenum, individuals with SMA Syndrome often experience significant weight loss. This is primarily caused by the inability to tolerate adequate food intake due to the associated symptoms of pain, nausea, and vomiting.

4. Early Satiety: Another common symptom is early satiety, which means feeling full after consuming only small amounts of food. This can further contribute to weight loss and malnutrition.

5. Abdominal Distention: Some individuals may develop abdominal distention, which is an abnormal swelling or enlargement of the abdomen. This can occur due to the accumulation of gas and fluid in the digestive system as a result of impaired digestion and absorption.

6. Acid Reflux: SMA Syndrome can also lead to gastroesophageal reflux disease (GERD), causing symptoms such as heartburn, regurgitation, and a sour taste in the mouth. This occurs due to the abnormal flow of stomach acid back into the esophagus.

7. Changes in Bowel Movements: Individuals with SMA Syndrome may experience alterations in their bowel movements. This can include constipation, diarrhea, or a combination of both. These changes are often related to the disruption of normal digestive processes.

8. Postprandial Belching: Some individuals may experience excessive belching or burping after meals. This can be a result of the accumulation of gas in the digestive system due to impaired digestion and motility.

9. Anxiety and Depression: Living with the chronic symptoms of SMA Syndrome can take a toll on a person's mental health. Many individuals may experience increased levels of anxiety and depression, which can further impact their overall well-being.

10. Nutritional Deficiencies: If left untreated, SMA Syndrome can lead to severe malnutrition and various nutritional deficiencies. This can result in weakness, fatigue, and a compromised immune system.

It is important to note that the severity and combination of symptoms can vary among individuals with SMA Syndrome. Some individuals may experience only a few of these symptoms, while others may have a more comprehensive range of manifestations.

If you suspect you or someone you know may have SMA Syndrome, it is crucial to seek medical attention for an accurate diagnosis and appropriate management. Treatment options may include dietary modifications, nutritional support, medications to relieve symptoms, and in severe cases, surgical intervention to alleviate the compression of the duodenum.