%0 Journal Article
%T S¨ªndrome de la arteria mesent¨¦rica superior o s¨ªndrome de Wilkie Superior Mesenteric Artery Syndrome or Wilkie Syndrome
%A Rodrigo Casta£¿o Llano
%A Abraham Chams Anturi
%A Paula Arango Vargas
%A ¨¢lvaro Garc¨ªa Valencia
%J Revista Colombiana de Gastroenterologia
%D 2009
%I Asociaci¨®n Colombiana de Gastroenterolog¨ªa
%X Describimos tres casos de s¨ªndrome de arteria mesent¨¦rica superior (SAMS), tambi¨¦n conocido como s¨ªndrome de Wilkie, ileus duodenal cr¨®nico, o por ¨®rtesis ortop¨¦dicas ("cast syndrome") El s¨ªndrome ocurre por la compresi¨®n de la tercera porci¨®n del duodeno entre la arteria mesent¨¦rica superior y la aorta. Los principales riesgos relacionados con la aparici¨®n del s¨ªndrome son la p¨¦rdida r¨¢pida de peso y las cirug¨ªas de columna vertebral. La presentaci¨®n cl¨ªnica del s¨ªndrome es variable e inespec¨ªfica, e incluye n¨¢useas, v¨®mito, dolor abdominal y p¨¦rdida de peso. El diagn¨®stico se basa en los hallazgos de la compresi¨®n duodenal por la arteria mesent¨¦rica superior por endoscopia, radiolog¨ªa contrastada y tomograf¨ªa. El tratamiento se dirige a corregir la causa de base, la cual frecuentemente se relaciona con la p¨¦rdida de peso. Por lo tanto, el manejo es inicialmente conservador con nutrici¨®n suplementaria y se reserva la cirug¨ªa para aquellos casos que no respondan a la terapia nutricional. We described three cases of superior mesenteric artery (SMA) syndrome, also known as Wilkie¡¯s syndrome, chronic duodenal ileus, or cast syndrome. This syndrome occurs when the third portion of the duodenum is compressed between the SMA and the aorta. The major risk factors for development of SMA syndrome are rapid weight loss and surgical correction of spinal deformities. The clinical presentation of SMA syndrome is variable and nonspecific, including nausea, vomiting, abdominal pain, and weight loss. The diagnosis is based on endoscopic, radiographic and tomographic findings of duodenal compression by the SMA. The treatment of SMA syndrome is aimed at the precipitating factor, which usually is related to weight loss. Therefore, conservative therapy with nutritional supplementation is the initial approach, and surgery is reserved for those who do not respond to nutritional therapy.
%K S¨ªndrome de la arteria mesent¨¦rica superior
%K s¨ªndrome de Wilkie
%K obstrucci¨®n duodenal
%K p¨¦rdida de peso aguda
%K Superior Mesenteric Syndrome
%K Wilkie Syndrome
%K Duodenal Obstruction
%K Acute Weight loss
%U http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-99572009000200014