Experience with Coeliac Axis Compression Syndrome

Retroperitoneal endoscopic release in the management of celiac artery compression syndrome

“…Moreover, several studies suggested that durable relief of symptoms after surgery is rare. [17][18][19]21 Proponents argued that durable effects of surgery in selected patients were reported. 3,[22][23][24][25][26][27][28][29][30] We believe that GET plays an important role in this selection.…”

“…Autopsy and angiographic studies have showed an incidence of splanchnic artery stenoses of 20% to 70%. 1,[17][18][19] The main arguments against the existence of symptomatic CA compression included the high frequency of asymptomatic isolated CA compression 20 and the idea that the existence of the rich splanchnic collateral circulation prevents splanchnic ischemia in case of one-vessel disease. Moreover, several studies suggested that durable relief of symptoms after surgery is rare.…”

Seconds from disaster: lessons learned from laparoscopic release of the median arcuate ligament

“…The most accepted explanation is related to possible mesenteric ischemia caused by impaired flow in the celiac artery axis or from a vascular steal phenomenon within the splanchnic circulation [7,12,13]. Because it is believed that symptomatic mesenteric ischemia requires occlusion of two of the three mesenteric arteries (celiac, superior mesenteric, and inferior mesenteric) and not the celiac artery alone, some believe that symptoms may be related to compression of celiac ganglion [14,15].…”

Median arcuate ligament syndrome: vascular surgical therapy and follow-up of 18 patients

“…The diagnostic approach and therapeutic management has been reported in some case reports [5][6][7][8][9][10][11][12][13][14][15][16] and small series [1,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. The largest data collection was comprised of 51 patients with MALS and was published by Reilly et al in 1985 [33].…”