Department of Surgery, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Department of Medicine, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Am J Case Rep. 2023 Jul 9;24:e939420. doi: 10.12659/AJCR.939420.
BACKGROUND Food insecurity describes the lack of adequate and reliable access to food due to insufficient resources. The condition affects over one-quarter of the world's population and is exacerbated by factors such as conflicts, climate variability, rising costs of nutritious food, and economic slumps; these challenges are amplified by poverty and inequality. Food insecurity is associated with many negative health outcomes, such as iron deficiency anemia, poor oral health, and stunting of growth in children. CASE REPORT We present the case of a patient who had significant weight loss related to food insecurity then developed a rare adverse health outcome: superior mesenteric artery (SMA) syndrome. SMA syndrome is a condition in which reduction in the angle formed by the proximal SMA and aorta, most commonly from decreased mesenteric fat in the setting of significant weight loss, leads to compression of the third portion of the duodenum and resulting bowel obstruction. The patient underwent successful treatment with a novel approach: endoscopic placement of a gastrojejunostomy stent. CONCLUSIONS Food insecurity remains a wide-ranging public health issue that can have direct impact on the clinical outcomes of individuals. We describe SMA syndrome as a rare adverse outcome in a food insecure individual, adding to the growing list of health consequences associated with this condition. We also highlight endoscopic placement of a gastrojejunostomy stent as an emerging alternative to surgical treatment of SMA syndrome. The success of the procedure in this patient adds to the body of evidence supporting its efficacy and safety profile for this population.
食品不安全是指由于资源不足而导致无法充分、可靠地获取食物。这种情况影响了世界上超过四分之一的人口，并且由于冲突、气候多变、营养食品成本上升以及经济衰退等因素而加剧；这些挑战因贫困和不平等而加剧。食品不安全与许多负面健康结果有关，例如缺铁性贫血、口腔健康不良和儿童生长迟缓。
我们介绍了一位患者的病例，他因食品不安全而出现明显体重减轻，随后出现了一种罕见的不良健康后果：肠系膜上动脉（SMA）综合征。SMA 综合征是一种由于近端 SMA 和主动脉之间形成的角度减小，最常见于显著体重减轻时肠系膜脂肪减少，导致十二指肠第三部分受压和肠梗阻的情况。患者通过一种新的方法成功治疗：内镜下放置胃空肠吻合支架。
食品不安全仍然是一个广泛存在的公共卫生问题，会直接影响个体的临床结果。我们描述了 SMA 综合征在食品不安全个体中的一种罕见不良后果，这增加了与这种情况相关的健康后果的不断增加的清单。我们还强调了内镜下放置胃空肠吻合支架作为 SMA 综合征手术治疗的新兴替代方法。该患者手术的成功增加了支持其对该人群的疗效和安全性的证据。
