Review
Copyright ©The Author(s) 2023.
World J Clin Cases. May 26, 2023; 11(15): 3369-3384
Published online May 26, 2023. doi: 10.12998/wjcc.v11.i15.3369
Table 6 Treatments for superior mesenteric artery syndrome
Therapeutic methods
Conservative therapy
Decompression of dilated stomach and duodenum by
Postural change (left lateral, sitting position)
Nasal gastric tube suction
Medication (metoclopramide)
Gaining weight by
Giving multiple small feeds
Feeding tube (nasal gastric or jejunal)
Total parenteral nutrition
Surgical therapy
Anterior transposition of the third part of duodenum
Gastroduodenostomy
Gastrojejunostomy
Duodenojejunostomy
Strong’s procedure (a division of the ligament of Treitz)
Duodenal lowering
Ladd's procedure
Endoscopic therapy
Lumen-apposing metal stent1 by
EUS-guided gastrojejunostomy