Case Report of Novel Endoscopic Findings in SMA Syndrome Demonstrated by Video Endoscopy: Visibly Pulsating, Band-Like, Compression in Third Portion of Duodenum, with the Pulsations Corresponding One-for-One with the Radial Pulse and EKG Cycle
Superior mesenteric artery (SMA) syndrome consists of partial/complete small bowel obstruction (SBO) at the third portion of duodenum from SMA compression. Although this syndrome has characteristic, well-documented, radiologic fndings as described below [1, 2], the endoscopic fndings are currently n...
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| Veröffentlicht in: | Digestive diseases and sciences 2019-06, Vol.64 (6), p.1715-1718 |
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| creator | Cappell, Mitchell S. Gjeorgjievski, Mihajlo Orosey, Molly |
| description | Superior mesenteric artery (SMA) syndrome consists of partial/complete small bowel obstruction (SBO) at the third portion of duodenum from SMA compression. Although this syndrome has characteristic, well-documented, radiologic fndings as described below [1, 2], the endoscopic fndings are currently not well characterized. Comprehensive literature review revealed one report of pulsatile compression at esophagogastroduodenoscopy (EGD) in SMA syndrome, as documented by one still endoscopic photograph [3]. The current case report confrms and advances this prior report by demonstrating band-like, bounding, visibly pulsating extrinsic compressions at third portion of duodenum, documented by video endoscopy and by one-for-one correspondence between these pulsations with the radial pulse and electrocardiographic QRS complex. This novel report advances the endoscopic characterization and pathophysiology of this syndrome. |
| doi_str_mv | 10.1007/s10620-019-5472-6 |
| format | Article |
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Although this syndrome has characteristic, well-documented, radiologic fndings as described below [1, 2], the endoscopic fndings are currently not well characterized. Comprehensive literature review revealed one report of pulsatile compression at esophagogastroduodenoscopy (EGD) in SMA syndrome, as documented by one still endoscopic photograph [3]. The current case report confrms and advances this prior report by demonstrating band-like, bounding, visibly pulsating extrinsic compressions at third portion of duodenum, documented by video endoscopy and by one-for-one correspondence between these pulsations with the radial pulse and electrocardiographic QRS complex. This novel report advances the endoscopic characterization and pathophysiology of this syndrome.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-019-5472-6</identifier><identifier>PMID: 30725288</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Biochemistry ; Case Report ; Case reports ; Digestive system ; Duodenal Obstruction - diagnostic imaging ; Duodenal Obstruction - physiopathology ; Duodenal Obstruction - therapy ; Duodenum - diagnostic imaging ; Duodenum - physiopathology ; Electrocardiogram ; Electrocardiography ; Endoscopy ; Endoscopy, Digestive System - methods ; Enteral Nutrition ; Female ; Gastroenterology ; Gastrointestinal diseases ; Hepatology ; Humans ; Intestinal obstruction ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Mesenteric Artery, Superior - diagnostic imaging ; Oncology ; Predictive Value of Tests ; Radial Artery - physiopathology ; Small intestine ; Superior Mesenteric Artery Syndrome - diagnostic imaging ; Superior Mesenteric Artery Syndrome - physiopathology ; Superior Mesenteric Artery Syndrome - therapy ; Transplant Surgery ; Treatment Outcome ; Young Adult</subject><ispartof>Digestive diseases and sciences, 2019-06, Vol.64 (6), p.1715-1718</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>COPYRIGHT 2019 Springer</rights><rights>Digestive Diseases and Sciences is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-e70031b1b64602832ebad6af39cc009f55df2c70986f931c291ae881d3274af43</citedby><cites>FETCH-LOGICAL-c439t-e70031b1b64602832ebad6af39cc009f55df2c70986f931c291ae881d3274af43</cites><orcidid>0000-0002-0764-6723 ; 0000-0002-1282-6470 ; 0000-0003-3445-5428</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10620-019-5472-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10620-019-5472-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30725288$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cappell, Mitchell S.</creatorcontrib><creatorcontrib>Gjeorgjievski, Mihajlo</creatorcontrib><creatorcontrib>Orosey, Molly</creatorcontrib><title>Case Report of Novel Endoscopic Findings in SMA Syndrome Demonstrated by Video Endoscopy: Visibly Pulsating, Band-Like, Compression in Third Portion of Duodenum, with the Pulsations Corresponding One-for-One with the Radial Pulse and EKG Cycle</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>Superior mesenteric artery (SMA) syndrome consists of partial/complete small bowel obstruction (SBO) at the third portion of duodenum from SMA compression. Although this syndrome has characteristic, well-documented, radiologic fndings as described below [1, 2], the endoscopic fndings are currently not well characterized. Comprehensive literature review revealed one report of pulsatile compression at esophagogastroduodenoscopy (EGD) in SMA syndrome, as documented by one still endoscopic photograph [3]. The current case report confrms and advances this prior report by demonstrating band-like, bounding, visibly pulsating extrinsic compressions at third portion of duodenum, documented by video endoscopy and by one-for-one correspondence between these pulsations with the radial pulse and electrocardiographic QRS complex. This novel report advances the endoscopic characterization and pathophysiology of this syndrome.</description><subject>Biochemistry</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Digestive system</subject><subject>Duodenal Obstruction - diagnostic imaging</subject><subject>Duodenal Obstruction - physiopathology</subject><subject>Duodenal Obstruction - therapy</subject><subject>Duodenum - diagnostic imaging</subject><subject>Duodenum - physiopathology</subject><subject>Electrocardiogram</subject><subject>Electrocardiography</subject><subject>Endoscopy</subject><subject>Endoscopy, Digestive System - methods</subject><subject>Enteral Nutrition</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastrointestinal diseases</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Intestinal obstruction</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Mesenteric Artery, Superior - diagnostic imaging</subject><subject>Oncology</subject><subject>Predictive Value of Tests</subject><subject>Radial Artery - physiopathology</subject><subject>Small intestine</subject><subject>Superior Mesenteric Artery Syndrome - diagnostic imaging</subject><subject>Superior Mesenteric Artery Syndrome - physiopathology</subject><subject>Superior Mesenteric Artery Syndrome - therapy</subject><subject>Transplant Surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1Ul1v0zAUjRCIlcIP4AVZ4oWHZvgjiRPeuq4biMKmbfBqufZN65HYwU5A-d38Adx1HwKB_HCt63POPb46SfKS4EOCMX8bCC4oTjGp0jzjNC0eJROSc5bSvCgfJxNMingnpDhInoVwjTGuOCmeJgcMc5rTspwkvxYyALqAzvkeuRp9dj-gQUurXVCuMwqdGKuN3QRkLLr8NEeXo9XetYCOoXU29F72oNF6RF-NBnfPHN_FRjDrZkTnQxNkHzVm6Ehana7MN5ihhWs7DyEYZ3fSV1vjNTqPLnaNaOR4cBrs0M7QT9NvUb-FO6E4NbJ9JHfuxhs6s5DWzqexPqAvpDayuSEBinPR8uMpWoyqgefJk1rG7ovbOk2-nCyvFu_T1dnph8V8laqMVX0KHGNG1mRdZAWmJaOwlrqQNauUipus81zXVHFclUVdMaJoRSSUJdGM8kzWGZsmb_a6nXffBwi9aE1Q0DTSghuCoJRWmDMWx0yT139Br93gbXQnKOFFznNS0gfURjYgjK1dXL_aiYo5J7RinGQkog7_gYpHQ2uUs1Cb2P-DQPYE5V0IHmrRedNKPwqCxS5oYh80EYMmdkETReS8ujU8rFvQ94y7ZEUA3QNCfLIb8A8_-r_qb1V_3j8</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>Cappell, Mitchell S.</creator><creator>Gjeorgjievski, Mihajlo</creator><creator>Orosey, Molly</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0764-6723</orcidid><orcidid>https://orcid.org/0000-0002-1282-6470</orcidid><orcidid>https://orcid.org/0000-0003-3445-5428</orcidid></search><sort><creationdate>20190601</creationdate><title>Case Report of Novel Endoscopic Findings in SMA Syndrome Demonstrated by Video Endoscopy: Visibly Pulsating, Band-Like, Compression in Third Portion of Duodenum, with the Pulsations Corresponding One-for-One with the Radial Pulse and EKG Cycle</title><author>Cappell, Mitchell S. ; Gjeorgjievski, Mihajlo ; Orosey, Molly</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-e70031b1b64602832ebad6af39cc009f55df2c70986f931c291ae881d3274af43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Biochemistry</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Digestive system</topic><topic>Duodenal Obstruction - diagnostic imaging</topic><topic>Duodenal Obstruction - physiopathology</topic><topic>Duodenal Obstruction - therapy</topic><topic>Duodenum - diagnostic imaging</topic><topic>Duodenum - physiopathology</topic><topic>Electrocardiogram</topic><topic>Electrocardiography</topic><topic>Endoscopy</topic><topic>Endoscopy, Digestive System - methods</topic><topic>Enteral Nutrition</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gastrointestinal diseases</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Intestinal obstruction</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Mesenteric Artery, Superior - diagnostic imaging</topic><topic>Oncology</topic><topic>Predictive Value of Tests</topic><topic>Radial Artery - physiopathology</topic><topic>Small intestine</topic><topic>Superior Mesenteric Artery Syndrome - diagnostic imaging</topic><topic>Superior Mesenteric Artery Syndrome - physiopathology</topic><topic>Superior Mesenteric Artery Syndrome - therapy</topic><topic>Transplant Surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cappell, Mitchell S.</creatorcontrib><creatorcontrib>Gjeorgjievski, Mihajlo</creatorcontrib><creatorcontrib>Orosey, Molly</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cappell, Mitchell S.</au><au>Gjeorgjievski, Mihajlo</au><au>Orosey, Molly</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case Report of Novel Endoscopic Findings in SMA Syndrome Demonstrated by Video Endoscopy: Visibly Pulsating, Band-Like, Compression in Third Portion of Duodenum, with the Pulsations Corresponding One-for-One with the Radial Pulse and EKG Cycle</atitle><jtitle>Digestive diseases and sciences</jtitle><stitle>Dig Dis Sci</stitle><addtitle>Dig Dis Sci</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>64</volume><issue>6</issue><spage>1715</spage><epage>1718</epage><pages>1715-1718</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><abstract>Superior mesenteric artery (SMA) syndrome consists of partial/complete small bowel obstruction (SBO) at the third portion of duodenum from SMA compression. Although this syndrome has characteristic, well-documented, radiologic fndings as described below [1, 2], the endoscopic fndings are currently not well characterized. Comprehensive literature review revealed one report of pulsatile compression at esophagogastroduodenoscopy (EGD) in SMA syndrome, as documented by one still endoscopic photograph [3]. The current case report confrms and advances this prior report by demonstrating band-like, bounding, visibly pulsating extrinsic compressions at third portion of duodenum, documented by video endoscopy and by one-for-one correspondence between these pulsations with the radial pulse and electrocardiographic QRS complex. This novel report advances the endoscopic characterization and pathophysiology of this syndrome.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>30725288</pmid><doi>10.1007/s10620-019-5472-6</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-0764-6723</orcidid><orcidid>https://orcid.org/0000-0002-1282-6470</orcidid><orcidid>https://orcid.org/0000-0003-3445-5428</orcidid></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Biochemistry Case Report Case reports Digestive system Duodenal Obstruction - diagnostic imaging Duodenal Obstruction - physiopathology Duodenal Obstruction - therapy Duodenum - diagnostic imaging Duodenum - physiopathology Electrocardiogram Electrocardiography Endoscopy Endoscopy, Digestive System - methods Enteral Nutrition Female Gastroenterology Gastrointestinal diseases Hepatology Humans Intestinal obstruction Medical research Medicine Medicine & Public Health Medicine, Experimental Mesenteric Artery, Superior - diagnostic imaging Oncology Predictive Value of Tests Radial Artery - physiopathology Small intestine Superior Mesenteric Artery Syndrome - diagnostic imaging Superior Mesenteric Artery Syndrome - physiopathology Superior Mesenteric Artery Syndrome - therapy Transplant Surgery Treatment Outcome Young Adult |
| title | Case Report of Novel Endoscopic Findings in SMA Syndrome Demonstrated by Video Endoscopy: Visibly Pulsating, Band-Like, Compression in Third Portion of Duodenum, with the Pulsations Corresponding One-for-One with the Radial Pulse and EKG Cycle |
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