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DESCRIPTION  Superior mesenteric artery syndrome (SMAS) is an uncommon but well recognized clinical entity characterized by compression of the third, or transverse, portion of the duodenum against the aorta by the SMA, resulting in chronic, intermittent, or acute complete or partial duodenal obstruction.
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HERBS OF CHOICE Herbs are often used in combinations when combating an illness. Some of the most frequently used herbs are listed below. These nine herbs were picked up from different herbal combinations and are not meant to form a recipe. Our reference code for the different combinations of herbs used for this condition is ESM. This listing is not meant to diagnose, only to inform. This is of course not a complete list and is not meant to be used in the place of a doctor's advice. Click the image of each herb for a brief introduction in terms of Traditional Chinese Medicine. |
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CLINICAL SUCCESS IN CHINA Chinese herbal doctors have reported some successful applications of these herbal combinations. During observation on 7 patients receiving treatment with herbal remedy, all 7 cases were judged as healing (full recovery and symptom free). Physicians judged the clinical efficacy to be excellent in 100%. Check the table below for details. |
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Cases |
Healing |
cases |
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7 |
7 |
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HERBAL REMEDY BEST FOR YOU The most powerful feature of Traditional Chinese Medicine is that it allows you to easily combine multiple ingredients to form a recipe to suit the specific need of individual. The list below are to give you an idea of why you can get the herbal remedy best for you from here with us. |
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Authoritative Oriented Recipes: All these well chosen herbal combinations source from experienced and authoritative experts, and have been most commonly recognized by the practitioners in this field. When you choose a herbal remedy there are two important things among your concerns: a good recipe and a correct way to cook it. A good recipe is half the good results. |
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Custom-made with Unique Technology: When you order a herbal remedy at this website you can figure out your symptoms by using our online questionnaire system. In this way a basic herbal recipe could be customized and optimized by adding or removing some herbs to address the individual symptoms exactly. Chinese herbs should not be used in form of standard industrial products manufactured in bulk to cope with all body issues. Only custom-made is the traditional and professional way to use Chinese herbs. All the herbal remedies available at this website are purposed to be custom-made on each single order base. With our unique technology called Low-temperature Concentration the active ingredients of herbs could be survival as much as possible while being concentrated. Eevery 8 ml of the extracts, as one dose, might equal to about 50 grams of raw herbs. |
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Safe and Side Effect Free: All these herbs have been being used in China for thousands of years, and have been proven to be safe. In fact most Chinese herbs are tonics without side effects. What important is that experienced practitioners should know how to use herbs to avoid possible side effects.
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Easy-to-Take Dosage Form: You do NOT need to cook these herbs at all. We get everything ready for you. The herbal remedy comes with the preparation in an easy-to-take dosage form, typically an oral dosage form namely Liquid Herbal Extracts created on a single order base. If necessary other dosage forms, such as pills, capsules, tablets, powder, tea bag, agar gel, rinse, lotion, spray, tincture, liniment, ointment, suppositories, etc., might be used depending on how to use the herbs correctly. And herbal remedy kit, consisting of two different herbal formulae typically one for oral administration and another for external use, is often used for the skin conditions. |
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Low-cost Customized Service: Two month's supply of this custom-made herbal preparation created on a single order base costs US$299.95 only. It is the average duration to take the remedy for an effect recommended for most individuals with different responses. Shipping charges are not included in the purchase price and will depend upon the shipping method that you choose. Please read our Shipping Policy for details. No any other hidden fees. Click the button below to go to questionnaire and order this herbal remedy. |
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The patient often presents with chronic upper abdominal symptoms such as epigastric pain, nausea, eructation, voluminous vomiting (bilious or partially digested food), postprandial discomfort, early satiety, and sometimes, subacute small-bowel obstruction. The symptoms are typically relieved when the patient is in the left lateral decubitus, prone, or knee-to-chest position, and they are often aggravated when the patient is in the supine position. |
An asthenic habitus is noted in about 80% of cases. Abdominal examination may reveal a succussion splash. Peptic ulcer disease has been noted in 25-45% of the patients, and hyperchlorhydria has been noted in 50%. Patients can present with signs of subacute small-bowel obstruction. |
Important etiologic factors that may precipitate a narrowing of the aortomesenteric angle and result in chronically recurrent mechanical obstruction include the following: |
- Constitutional factors
- Thin body build
- Exaggerated lumbar lordosis
- Visceroptosis and abdominal wall laxity
- Depletion of the mesenteric fat caused by rapid severe weight loss due to catabolic states such as cancer and burns
- Severe injuries, such as head trauma, leading to prolonged bedrest
- Dietary disorders
- Anorexia nervosa
- Malabsorption
- Spinal disease, deformity, or trauma
- Use of body cast in the treatment of scoliosis or vertebral fractures
- Rapid linear growth without compensatory weight gain, particularly in adolescents
- Anatomic anomalies, rarely
- Abnormally high and fixed position of the ligament of Treitz with an upward displacement of the duodenum
- Unusually low origin of the SMA
- Unusual causes
- Traumatic aneurysm of the SMA after a stab wound
- Familial SMA syndrome
- Recurrent SMA syndrome
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SYNONYMS |
- SMA syndrome
- Cast syndrome
- Wilkie's syndrome
- Arteriomesenteric duodenal compression syndrome
- Chronic duodenal ileus
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SYMPTOMS The most characteristic symptoms are:
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- Postprandial epigastric pain
- Eructation
- Fullness
- Voluminous vomiting
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