Further Evidence Supporting the Existence of the Celiac Artery Compression Syndrome

Kernohan, R. M.; D’Sa, Aires A.B. Barros; Cranley, Brian; Johnston, H.M.L.

doi:10.1001/archsurg.1985.01390330078017

Cited by 22 publications

(10 citation statements)

References 10 publications

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“…In 1972, Szilagyi et al [44] reviewed the entire literature on CA compression syndrome and found no proof of any abnormality of intestinal structure or function that could be attributed to this compression, nor proof that treatment had more than a placebo effect. However, several papers were published with good results for CA decompression operations [45][46][47] . These opinions were challenged recently by our group.…”

Section: Single-vessel Diseasementioning

confidence: 99%

Diagnosis and management of splanchnic ischemia

Kolkman¹,

Bargeman²,

Huisman³

et al. 2008

WJG

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Section: Single-vessel Diseasementioning

confidence: 99%

Diagnosis and management of splanchnic ischemia

Kolkman¹,

Bargeman²,

Huisman³

et al. 2008

WJG

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“…Decompression of celiac artery is the general approach to treatment of MALS (11) . Either open surgical (11) or laparoscopic (3,21,22) approach is used. The other interventions include celiac gangliectomy, celiac artery revascularization (aorto-coeliac bypass, patch angioplasty) (11) , percutaneous transluminal angioplasty (PTA) (5,11,23) , robotic ligament release, angioplasty with stenting in recalcitrant cases (24,25) .…”

Section: Discussionmentioning

confidence: 99%

Median Arcuate Ligament Syndrome (MALS)

Shafi¹,

Nisa²,

Bashir³

2017

IOSR JDMS

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“…The open surgical therapy of MALS has been reported in case reports [6,8,9,[11][12][13]16] and series of up to 51 patients [1, 4, 17-23, 25-28, 33].…”

Section: Treatment: Open Surgicalmentioning

confidence: 99%

“…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].…”

Section: Introductionmentioning

confidence: 99%

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

Grotemeyer

Duran

Iskandar

et al. 2009

Langenbecks Arch Surg

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The MALS is a rare vascular disorder caused by an extrinsic compression of the celiac artery and induces upper abdominal, mostly, postprandial pain. A definite diagnosis of MALS can be achieved by lateral aortography of the visceral aorta and its branches during inspiration and expiration. Open surgical therapy is a safe and reliable procedure with no mortality and low morbidity. As to the local and specific pathology of the celiac trunk after decompression with fixed stricture or stenosis, further vascular procedures are necessary. The long-time follow-up seemed adequate. The laparoscopic approach reduces the procedure of decompression only, something which seemed inadequate for most cases. Endovascular treatment with percutaneous transluminal angioplasty and insertion of a stent does not solve the underlying problem of extrinsic compression of the celiac trunk and often requires open procedures during the long-term course. Due to the low incidence of MALS, no guidelines will do justice to all the patients sufficiently, and the choice of treatment must depend on the specific clinical situation for each patient.

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Further Evidence Supporting the Existence of the Celiac Artery Compression Syndrome

Cited by 22 publications

References 10 publications

Diagnosis and management of splanchnic ischemia

Diagnosis and management of splanchnic ischemia

Median Arcuate Ligament Syndrome (MALS)

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

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