Ultrasound imaging in diagnosis of superior mesenteric artery syndrome
S Neri, SS Signorelli, E Mondati… - Journal of internal …, 2005 - Wiley Online Library
S Neri, SS Signorelli, E Mondati, D Pulvirenti, E Campanile, L Di Pino, M Scuderi…
Journal of internal medicine, 2005•Wiley Online LibraryObjectives. We screened a cohort of subjects affected by various degree of dyspepsia to
reveal if they presented a reduction of the aorto‐mesenteric angle and to diagnose
suspected cases of superior mesenteric artery (SMA) syndrome. Design. Controlled,
prospective, study. Setting. Subjects were studied as outpatients. Subjects. The study
investigated a total of 3622 subjects referred to our department by their general practitioners
for dyspepsia and/or abdominal pain. Interventions. Abdominal ultrasonography with power …
reveal if they presented a reduction of the aorto‐mesenteric angle and to diagnose
suspected cases of superior mesenteric artery (SMA) syndrome. Design. Controlled,
prospective, study. Setting. Subjects were studied as outpatients. Subjects. The study
investigated a total of 3622 subjects referred to our department by their general practitioners
for dyspepsia and/or abdominal pain. Interventions. Abdominal ultrasonography with power …
Abstract
Objectives. We screened a cohort of subjects affected by various degree of dyspepsia to reveal if they presented a reduction of the aorto‐mesenteric angle and to diagnose suspected cases of superior mesenteric artery (SMA) syndrome.
Design. Controlled, prospective, study.
Setting. Subjects were studied as outpatients.
Subjects. The study investigated a total of 3622 subjects referred to our department by their general practitioners for dyspepsia and/or abdominal pain.
Interventions. Abdominal ultrasonography with power colour Doppler, gastroduodenoscopy, hypotonic duodenography, contrast‐enhanced spiral computerized tomography were performed.
Main outcome measurement and results. Color Doppler revealed a significant reduction of the SMA angle in 29 of 950 subjects; gastroscopy showed duodenal compressive pulsation in 14 of 29 patients and X‐ray revealed compression of the third segment of the duodenum in 28 of 29 patients. CT confirmed the presence of a reduced angle and various degrees of duodenal compression in all patients. Ultrasonography and CT examinations gave overlapping results (P > 0.05) in diagnosing pathological aorto‐mesenteric angle.
Conclusion. The authors believe that the incidence of reduced aorto‐mesenteric angle and SMA syndrome might be underrated.
Ultrasound power colour Doppler imaging is useful in epidemiological screening of reduced aorto‐mesenteric angle to diagnose suspected cases of SMA syndrome.
Wiley Online Library