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Contributing Factors

Weight Loss

Loss of mesenteric fat may reduce cushioning around the vessels and decrease the space available for the duodenum.

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Surgery or Trauma

Some cases are reported after surgical procedures, trauma, or significant medical events.

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Reduced Nutritional Intake

Difficulty maintaining adequate intake or poor nutrition may contribute in some individuals.

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Rapid Growth/Body Changes

Growth spurts and body composition changes have been discussed in the literature.

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Low Body Weight

Reduced body mass or low body fat stores may influence the aortomesenteric angle and distance. 

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Anatomical Variation

Individual anatomical differences may affect the aortomesenteric angle or distance.

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Prolonged Illness

Extended illness, bed rest, or reduced mobility have been associated in some reports.

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Associated Conditions

Some patients report additional gastrointestinal, connective tissue, or vascular conditions

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SMAS does not have one known cause. Multiple anatomical, nutritional, surgical and medical factors may contribute to narrowing between the superior mesenteric artery and aorta. Experiences vary from person to person.

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