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

Superior Mesenteric Artery Syndrome (SMAS) is a rare gastrointestinal disorder with an estimated prevalence ranging from 0.013% to 0.3% in the general population, though these figures are likely underestimates due to frequent misdiagnosis. Because SMAS often presents with non-specific symptoms, many cases go unrecognized, making it difficult to determine exact global incidence rates. Is Superior Mesenteric Artery Syndrome considered rare? Yes, Superior Mesenteric Artery Syndrome is classified as a rare condition.

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

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What is the prevalence of Superior Mesenteric Artery Syndrome?

Prevalence of Superior Mesenteric Artery Syndrome: how many people are affected worldwide, differences by sex and region, with sources.

Prevalence of Superior Mesenteric Artery Syndrome

Superior Mesenteric Artery Syndrome (SMAS) is a rare gastrointestinal disorder with an estimated prevalence ranging from 0.013% to 0.3% in the general population, though these figures are likely underestimates due to frequent misdiagnosis. Because SMAS often presents with non-specific symptoms, many cases go unrecognized, making it difficult to determine exact global incidence rates.



Is Superior Mesenteric Artery Syndrome considered rare?


Yes, Superior Mesenteric Artery Syndrome is classified as a rare condition. While precise epidemiological data is limited, the condition is frequently underdiagnosed because its primary symptom—postprandial abdominal pain—is common to many other digestive disorders. Within the DiseaseMaps.org community, 380 people with Superior Mesenteric Artery Syndrome have connected to share their experiences, highlighting that while the condition is rare, there is a dedicated global cohort navigating the challenges of this diagnosis.



What are the demographic patterns of Superior Mesenteric Artery Syndrome?


The clinical presentation of Superior Mesenteric Artery Syndrome reveals specific trends regarding age and gender distribution:



  • Age of Onset: SMAS is most commonly diagnosed in adolescents and young adults, often following rapid weight loss, though it can occur at any age.

  • Gender Distribution: Clinical literature suggests a higher prevalence in females, though the reasons for this gender disparity remain a subject of ongoing medical research.

  • Geographic Variations: There is no significant evidence of geographic or ethnic predisposition, suggesting that Superior Mesenteric Artery Syndrome occurs globally across all populations.



Why is accurate data for Superior Mesenteric Artery Syndrome challenging?


The primary challenge in mapping the prevalence of Superior Mesenteric Artery Syndrome is the high rate of clinical misdiagnosis. Because the syndrome involves the compression of the third portion of the duodenum by the superior mesenteric artery, it is often initially mistaken for eating disorders, psychological conditions, or other chronic motility disorders. Consequently, the true number of individuals living with Superior Mesenteric Artery Syndrome may be higher than current medical literature reflects.



Next steps



  • Consult a gastroenterologist or a vascular surgeon to discuss imaging options like CT angiography.

  • Join the DiseaseMaps.org community to connect with other patients and share symptom management strategies.

  • Maintain a detailed symptom and food intake diary to assist your medical team in evaluating your specific presentation of Superior Mesenteric Artery Syndrome.



Medical disclaimer: This content is for informational purposes only and does not constitute professional medical advice, diagnosis, or treatment; always seek the guidance of a qualified physician regarding any medical condition.



References



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

  • Orphanet: Rare Disease Database (ORPHA: 3292).

  • PubMed Central: Current diagnostic and management trends in Superior Mesenteric Artery Syndrome.

  • OMIM (Online Mendelian Inheritance in Man): Clinical summaries for vascular compression syndromes.

Medical disclaimer: This information does not substitute professional medical advice. Always consult your doctor before making health decisions.
Source: DiseaseMaps.org
4 answers
BOTH GENDERS. Happens in teens a lot after doing scoliosis surgery. Less than 3% of population.

Posted May 28, 2018 by Alexis 2500
Superior mesenteric artery syndrome effects less than 1% of the population. It is most common in female adults.

Posted Mar 14, 2020 by Macy Mae 2550
It seems to affect more females than males. You have a .013 chance of having SMAS. it seems to affect more children but there are many adults who suffer as well.

Posted Jan 28, 2021 by Babypay1 2650

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World map of Superior Mesenteric Artery Syndrome

Find people with Superior Mesenteric Artery Syndrome through the map. Connect with them and share experiences. Join the Superior Mesenteric Artery Syndrome community.

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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