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F. Warren Nugent, MD; John W. Braasch, MD; Hans Epstein, MD

JAMA. 1966;196(12):1091-1093.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

AMONG conditions associated with obstruction of the duodenum is the "superior mesenteric artery syndrome,"¹ seemingly the result of compression of the duodenum by the superior mesenteric vessels. The typical patient is a young adult, usually a woman, with an asthenic body habitus and superimposed weight loss. The symptoms of this condition are the same as those of acute or chronic high intestinal obstruction. On roentgenographic examination or inspection at surgery, dilation and hypertrophy of the first, second, and part of the third portions of the duodenum are found with retained secretions in the stomach and churning peristalsis in the duodenum

In our experience, this syndrome is much less common than that reported by Goin and Wilk,² who found one case in 300 roentgenograms of the upper gastrointestinal tract. In a five-year period (1957 to 1962), approximately 38,000 roentgenograms of the upper gastrointestinal tract were made at the Lahey . . . [Full Text PDF of this Article]

Author Affiliations
From the departments of gastroenterology (Drs. Nugent and Epstein) and surgery (Dr. Braasch), Lahey Clinic Foundation, Boston. Dr. Epstein is now in Woodstock, New Brunswick.

Footnotes
Reprint requests to 605 Commonwealth Ave, Boston 02215 (Dr. Nugent).

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