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Living with Superior mesenteric artery syndrome

A digestive condition in which part of the small intestine is squeezed between two arteries, causing pain, fullness, and vomiting.

Understanding Superior mesenteric artery syndrome

Superior mesenteric artery syndrome (SMAS) is a digestive condition in which the first part of the small intestine is squeezed between two arteries.

The squeezing partly or fully blocks the duodenum. Symptoms vary and can be severely disabling. It typically happens when the fat pad around the artery is lost. The most common cause is major weight loss from medical or psychological conditions or surgery. In younger people, it most often follows spinal surgery for scoliosis. Delays in diagnosis may cause significant complications.

Signs & symptoms

Symptoms vary based on severity. GARD lists these:

  • Belly pain
  • Feeling full quickly
  • Nausea
  • Vomiting
  • Weight loss

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Association of Gastrointestinal Motility Disorders and Superior Mesenteric Artery Syndrome Research Awareness and Support may keep lists of experts for this condition.

Care & treatment

Care team
Digestive system specialists (gastroenterologists)
Expert care
Expert lists: Association of Gastrointestinal Motility Disorders, Superior Mesenteric Artery Syndrome Research Awareness and Support
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Association of Gastrointestinal Motility Disorders and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which tests confirm the blockage?
Can nutrition support help restore the fat pad?
When would surgery be considered?

Quick facts

It typically comes from loss of the fat pad around the superior mesenteric artery. The most common cause is significant weight loss, or, in younger people, scoliosis surgery.

Gastrointestinal

Also known as: arteriomesenteric compression of third part of duodenum; smas; smas - superior mesenteric artery syndrome; superior mesenteric artery syndromic disease; syndromic disease of superior mesenteric artery; wilkie syndrome

Patient organizations

Source: NIH GARD · Superior mesenteric artery syndromeGARD ID 7712 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Superior mesenteric artery syndrome.

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