Reviewer ’s report  
 
Title: Superior Mesenteric Artery Syndrome coexists with Nut cracker Syndrome in a female: a 
case report  
 
Version: 1 Date: 28 Sep 2018  
 
Reviewer: Weiwei Ding  
 
Reviewer's report:  
 
This case reports a female patient with SMA syndrome with Nutcracker phenomenon. The 
authors highlight the importance of the combination therapy of long -term nutritional supporting 
and pr omotility agents.  
 
 
 
I have several concerns:  
 
1. As a national GI referral center, SMA syndrome with Nutcracker phenomenon is not a 
rare case in my department. Even in the literatures, there has been lots of reports about 
the treatments and diagnosis of SMA syndrome with Nutcracker phenomenon.  
 
 
2. The treatment in this case added nothing new to our knowledge about this disease.  
 
 
3. As a CASE REPORT, this manuscript lacks the results of a long -term follow up. How 
about the updated status after six -month of home  nutritional treatment?  
 
 
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comment s to the authors.  
 
Unable to assess  
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
Are you able to assess any statistics in the manus cript or would you recommend an 
additional st atistical review?  
If an additional statistical review is recommended, please speci fy what aspects require further 
assessment in your comments to the editors.  
 
Not relevant to this manuscript  
 
Quality of written English  
Please indicate the quality of language  in the manuscript:  
 
Needs some language cor rections before being published  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in the past five years received reimburseme nts, f ees, funding, or salary from an 
organisation that may in any way gain or lose financial ly from the publication of this 
manuscript, either now or in the future?  
 
2. Do you hold any stocks or shares in an organisation t hat may in any way gain or lose 
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents  relating to the content of the 
manuscript?  
 
4. Have you received reimbursements, fees, funding, or salary from an organization that 
holds or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
 
If you can answer no to al l of the above, write 'I declare that I have  no competing interests' 
below. If your reply is yes to any, please give details below.  
 
I declare that I have no competing interests  
 
I agree to the open peer review policy of the journal. I understand that my nam e will be included 
on my report to the authors and, if the manuscript is accepted f or publication, my named report 
including any attachments I upload will be posted on the website alon g with the authors' 
responses. I agree for my report to be made availabl e under an Open Access Creative Commons 
CC-BY license ( http://creativecommons.org/licenses/by/4.0/ ). I understand that any comments 
which I do not wish to be included in my named report can be in cluded as confidential comments 
to the editors, which will no t be published.  
 
I agree to the open peer review policy of the journal  
Reviewer ’s report  
 
Title: Superior Mesenteric Artery Syndrome coexists with Nut cracker Syndrome in a female: a 
case report  
 
Version: 1 Date: 28 Sep 2018  
 
Reviewer: Weiwei Ding  
 
Reviewer's report:  
 
This case reports a female patient with SMA syndrome with Nutcracker phenomenon. The 
authors highlight the importance of the combination therapy of long -term nutritional supporting 
and pr omotility agents.  
 
 
 
I have several concerns:  
 
1. As a national GI referral center, SMA syndrome with Nutcracker phenomenon is not a 
rare case in my department. Even in the literatures, there has been lots of reports about 
the treatments and diagnosis of SMA syndrome with Nutcracker phenomenon.  
 
 
2. The treatment in this case added nothing new to our knowledge about this disease.  
 
 
3. As a CASE REPORT, this manuscript lacks the results of a long -term follow up. How 
about the updated status after six -month of home  nutritional treatment?  
 
 
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comment s to the authors.  
 
Unable to assess  
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
Are you able to assess any statistics in the manus cript or would you recommend an 
additional st atistical review?  
If an additional statistical review is recommended, please speci fy what aspects require further 
assessment in your comments to the editors.  
 
Not relevant to this manuscript  
 
Quality of written English  
Please indicate the quality of language  in the manuscript:  
 
Needs some language cor rections before being published  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in the past five years received reimburseme nts, f ees, funding, or salary from an 
organisation that may in any way gain or lose financial ly from the publication of this 
manuscript, either now or in the future?  
 
2. Do you hold any stocks or shares in an organisation t hat may in any way gain or lose 
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents  relating to the content of the 
manuscript?  
 
4. Have you received reimbursements, fees, funding, or salary from an organization that 
holds or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
 
If you can answer no to al l of the above, write 'I declare that I have  no competing interests' 
below. If your reply is yes to any, please give details below.  
 
I declare that I have no competing interests  
 
I agree to the open peer review policy of the journal. I understand that my nam e will be included 
on my report to the authors and, if the manuscript is accepted f or publication, my named report 
including any attachments I upload will be posted on the website alon g with the authors' 
responses. I agree for my report to be made availabl e under an Open Access Creative Commons 
CC-BY license ( http://creativecommons.org/licenses/by/4.0/ ). I understand that any comments 
which I do not wish to be included in my named report can be in cluded as confidential comments 
to the editors, which will no t be published.  
 
I agree to the open peer review policy of the journal  
Please review this paper.
user
Reviewer ’s report  
 
Title: Superior Mesenteric Artery Syndrome coexists with Nut cracker Syndrome in a female: a 
case report  
 
Version: 1 Date: 28 Sep 2018  
 
Reviewer: Weiwei Ding  
 
Reviewer's report:  
 
This case reports a female patient with SMA syndrome with Nutcracker phenomenon. The 
authors highlight the importance of the combination therapy of long -term nutritional supporting 
and pr omotility agents.  
 
 
 
I have several concerns:  
 
1. As a national GI referral center, SMA syndrome with Nutcracker phenomenon is not a 
rare case in my department. Even in the literatures, there has been lots of reports about 
the treatments and diagnosis of SMA syndrome with Nutcracker phenomenon.  
 
 
2. The treatment in this case added nothing new to our knowledge about this disease.  
 
 
3. As a CASE REPORT, this manuscript lacks the results of a long -term follow up. How 
about the updated status after six -month of home  nutritional treatment?  
 
 
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comment s to the authors.  
 
Unable to assess  
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
Are you able to assess any statistics in the manus cript or would you recommend an 
additional st atistical review?  
If an additional statistical review is recommended, please speci fy what aspects require further 
assessment in your comments to the editors.  
 
Not relevant to this manuscript  
 
Quality of written English  
Please indicate the quality of language  in the manuscript:  
 
Needs some language cor rections before being published  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in the past five years received reimburseme nts, f ees, funding, or salary from an 
organisation that may in any way gain or lose financial ly from the publication of this 
manuscript, either now or in the future?  
 
2. Do you hold any stocks or shares in an organisation t hat may in any way gain or lose 
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents  relating to the content of the 
manuscript?  
 
4. Have you received reimbursements, fees, funding, or salary from an organization that 
holds or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
 
If you can answer no to al l of the above, write 'I declare that I have  no competing interests' 
below. If your reply is yes to any, please give details below.  
 
I declare that I have no competing interests  
 
I agree to the open peer review policy of the journal. I understand that my nam e will be included 
on my report to the authors and, if the manuscript is accepted f or publication, my named report 
including any attachments I upload will be posted on the website alon g with the authors' 
responses. I agree for my report to be made availabl e under an Open Access Creative Commons 
CC-BY license ( http://creativecommons.org/licenses/by/4.0/ ). I understand that any comments 
which I do not wish to be included in my named report can be in cluded as confidential comments 
to the editors, which will no t be published.  
 
I agree to the open peer review policy of the journal  
assistant