Short answer · Medically reviewed summary · Last updated: 2026-05-08

Superior Mesenteric Artery Syndrome (SMA Syndrome) is generally considered an acquired mechanical condition rather than a hereditary or genetic disorder. It is not caused by a specific gene mutation passed from parents to children, meaning there is no known inheritance pattern or risk of passing it to offspring through typical Mendelian genetics. Is Superior Mesenteric Artery Syndrome genetic or hereditary? Superior Mesenteric Artery Syndrome is not classified as a genetic or hereditary disease.

7 people with Superior Mesenteric Artery Syndrome have shared their first-person experience on this question at DiseaseMaps.

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Is Superior Mesenteric Artery Syndrome hereditary?

Is Superior Mesenteric Artery Syndrome hereditary? The genetic component explained in plain language, reviewed against medical sources, with patient experiences.

Is Superior Mesenteric Artery Syndrome hereditary?

Superior Mesenteric Artery Syndrome (SMA Syndrome) is generally considered an acquired mechanical condition rather than a hereditary or genetic disorder. It is not caused by a specific gene mutation passed from parents to children, meaning there is no known inheritance pattern or risk of passing it to offspring through typical Mendelian genetics.



Is Superior Mesenteric Artery Syndrome genetic or hereditary?


Superior Mesenteric Artery Syndrome is not classified as a genetic or hereditary disease. Unlike conditions caused by DNA mutations, Superior Mesenteric Artery Syndrome occurs when the angle between the abdominal aorta and the superior mesenteric artery becomes too narrow, compressing the third portion of the duodenum. This is usually the result of a rapid loss of the protective retroperitoneal fat pad that cushions these vessels.



What causes Superior Mesenteric Artery Syndrome if it is not inherited?


Because Superior Mesenteric Artery Syndrome is mechanical, clinical experts identify several common triggers rather than genetic markers. These factors contribute to the loss of the mesenteric fat pad:



  • Rapid or profound weight loss due to illness, eating disorders, or malabsorption.

  • Surgical procedures, such as scoliosis correction, which may stretch the mesenteric artery.

  • Anatomical predisposition, such as a naturally low-lying superior mesenteric artery.

  • Chronic bed rest or physical wasting conditions.



Is genetic testing or counseling recommended for Superior Mesenteric Artery Syndrome?


Genetic testing is not standard practice for Superior Mesenteric Artery Syndrome, as there is no identified genetic cause. Genetic counseling is generally not required for families unless the condition is occurring as part of a larger, systemic connective tissue disorder (such as Ehlers-Danlos Syndrome) that might be predisposing a patient to rapid weight loss or vascular abnormalities. In the 380 members of the DiseaseMaps community currently navigating Superior Mesenteric Artery Syndrome, the condition is consistently treated as a structural gastrointestinal issue rather than an inherited one.



Next steps



  • Consult a gastroenterologist or vascular surgeon to evaluate your specific anatomy and nutritional status.

  • Work with a registered dietitian to develop a medically supervised weight restoration plan if necessary.

  • Join the DiseaseMaps.org community to connect with others who have been diagnosed with Superior Mesenteric Artery Syndrome.

  • Discuss any underlying systemic conditions with your primary care provider if you suspect a connective tissue disorder.



Medical disclaimer: This information is for educational purposes only and does not replace professional medical advice, diagnosis, or treatment.



References



  • NIH Genetic and Rare Diseases Information Center (GARD): Superior Mesenteric Artery Syndrome.

  • Orphanet: Rare Disease Database (SMA Syndrome).

  • National Library of Medicine (PubMed): Clinical reviews on the pathophysiology of SMA Syndrome.

  • OMIM (Online Mendelian Inheritance in Man): Database search for vascular-duodenal compression patterns.

Medical disclaimer: This information does not substitute professional medical advice. Always consult your doctor before making health decisions.
Source: DiseaseMaps.org
8 answers
Can be but is very rare!

Posted May 28, 2018 by Alexis 2500
Having children and grandchildren myself I have often wondered and worried about this particular question. However I do not know the answers. And I don't believe there's enough research out there to prove it one way or another. That's the problem with a rare disease. The research that goes into it is very minimal.

Posted Jun 13, 2018 by Shawn 1024
YES!! My grandfather had it. My mother had it. She allowed the duodeal bypass and passed at age 58. I have it and I am 46. And now my 16 year old daughter has been diagnosed with it. YES, it is hereditary.

Posted Jul 31, 2018 by Stacee 1150
I think Superior Mesenteric Artery Syndrome can be hereditary but, isn't always hereditary. There are some who get it from surgery and other show symptoms at a young age.

Posted Mar 14, 2020 by Macy Mae 2550
In some families it does run in the family others it doesnt

Posted Jan 28, 2021 by Babypay1 2650
Smas is not hereditary but have had cases of identical twins

Posted May 18, 2021 by Sarah Steffen 1100
I believe there is some hereditary component for some people- otherwise how would you explain families with multiple family members being diagnosed with SMAS.

Posted Aug 27, 2022 by Staci 300

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Stories of Superior Mesenteric Artery Syndrome

SUPERIOR MESENTERIC ARTERY SYNDROME STORIES
Superior Mesenteric Artery Syndrome stories
My name is Shawn and I live in Southern Oregon. I have the congenital form of SMAS. I didn't notice the changes going on back in 1991. It was my Wife that pointed out to me that I would often wake around 3-4am and vomit, very violently. Then I would ...
Superior Mesenteric Artery Syndrome stories
January 2011...I was rushed to hospital as 10 inches of my bowel had died, I had a bowel resection and 12 days later I was sent home, but within a day or too I was getting awful pain in my stomach after eating or drinking, being sick, no pain killers...
Superior Mesenteric Artery Syndrome stories
My name is Michelle and Alecia is my daughter.  Alecia got sick in April of 2009 and was diagnosed with gastroparesis a few months later.  It wasn't until March 1, 2011that she was diagnosed with SMAS.  She had her Lap Duodenojejunostomy done on J...
Superior Mesenteric Artery Syndrome stories
Growing up I was a happy healthy child until I hit my teens !! It started with ovarian cysts and endometriosis which we. Managed to get it under control once I was put on a birth control shot. Then in 2004 it wasn't feeling too good again to find out...
Superior Mesenteric Artery Syndrome stories
After months of being told its a stomach virus ..i sought outba second opinion.. she was seen with gi and what they thoight was either Crohn's disease or her  celiac acting up  instead found a clear cut case of Superior Mesenteric Artery Syndrome.....

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