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Superior Mesenteric Artery Syndrome, or SMAS, is a rare but serious condition that occurs when the duodenum becomes compressed between the aorta and the superior mesenteric artery. In this video, Dr. Danny Shouhed, a minimally invasive gastrointestinal surgeon, explains the anatomy behind SMAS, why it develops, and how it affects patients. He discusses common causes such as rapid weight loss and connective tissue differences, the symptoms that set SMAS apart from conditions like Median Arcuate Ligament Syndrome (MALS), and the types of foods that often make the pain worse. Dr. Shouhed also reviews the diagnostic process, which may include an upper GI study, CT scan, endoscopy, and gastric emptying study, to help confirm the condition and rule out other issues. From there, Dr. Shouhed outlines the surgical options for treating SMAS. While some surgeons use procedures like duodenojejunostomy or Strong’s procedure, he explains why his preferred approach is duodenal derotation combined with duodenoduodenostomy, a more complex but often more effective solution with better long-term outcomes. The video also covers what patients can expect during recovery, including the need for nutritional support, time in the hospital, and the importance of long-term follow-up. With his extensive experience in complex foregut conditions such as SMAS, MALS, and GERD, Dr. Shouhed shares his perspective on patient outcomes and why ongoing care is critical for success. Learn more about SMAS, surgical treatment, and Dr. Shouhed’s approach to foregut surgery: https://www.drdannyshouhed.com 2 Convenient Locations to Serve You! 436 N Bedford Drive, Suite 311 Beverly Hills, CA 90210 (310) 890-5834 2121 Santa Monica Blvd Santa Monica, CA 90404 (310) 904-6647