Pediatric Median Arcuate Ligament Syndrome: Surgical Outcomes and Quality of Life

Joyce, Daniel; Antiel, Ryan M.; Oderich, Gustavo S.; Gloviczki, Péter; Tung, Jeanne; Grothe, Rayna; Absah, Imad; Zarroug, Abdalla E.

doi:10.1089/lap.2013.0438

Cited by 29 publications

(27 citation statements)

References 15 publications

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“…Our group and others have previously demonstrated that children diagnosed with CAP and celiac artery compression may be helped with surgical release of MALS. 12,16 The overall success rates of 70% to 80% have been reported after surgical release of the celiac artery compression with or without concomitant neurolysis. 12 Because of the significant overlap between MALS and CAP, we sought to better understand psychosocial characteristics of patients with MALS compared to those with CAP including chronic GI syndromes, inflammatory bowel disease (IBD), and functional GI disorders (FGIDs).…”

Section: Special Issue Articlementioning

confidence: 99%

Pediatric Chronic Abdominal Pain and Median Arcuate Ligament Syndrome: A Review and Psychosocial Comparison

et al. 2016

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Chronic abdominal pain (CAP) occurs in children and adolescents with a reported prevalence of 4% to 41% with significant direct and indirect costs to the child, family, and society. Median arcuate ligament syndrome (MALS) is a vascular compression syndrome of the celiac artery that may cause symptoms of epigastric pain and weight loss and is a frequently overlooked cause of CAP in the pediatric population. We have observed that the psychosocial presentation of patients with MALS is notable for various psychiatric comorbidities. In this article, we review MALS as well as our study results of the psychosocial profile of 30 MALS patients. Our data suggest that children and adolescents with MALS have similar psychosocial profiles to children with other gastrointestinal disorders resulting in CAP. The overlap of physical and psychosocial symptoms of patients who have MALS with other CAP disorders leads us to recommend that patients with CAP should be evaluated for MALS. [Pediatr Ann. 2016;45(7):e257-e264.].

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Section: Special Issue Articlementioning

confidence: 99%

Pediatric Chronic Abdominal Pain and Median Arcuate Ligament Syndrome: A Review and Psychosocial Comparison

et al. 2016

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“…[23] It is being to be recognized more frequently in pediatric population in recent years. [456] Postprandial abdominal pain, vomiting, and weight loss are the typical clinical symptoms for this syndrome. However, these patients are frequently diagnosed and treated as FGID before the correct diagnosis is confirmed.…”

Section: Discussionmentioning

confidence: 99%

“…[23] In recent years, MALS has begun to be recognized more frequently in pediatric/adolescent population. [456]…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic treatment of median arcuate ligament syndrome: A rare cause of chronic severe abdominal pain

Divarcı

Çeltik

Dökümcü

et al. 2017

J Indian Assoc Pediatr Surg

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Median arcuate ligament syndrome is a rare disorder characterized by chronic postprandial abdominal pain and weight loss caused by compression on celiac artery. A 17-year-old girl with chronic severe abdominal pain and weight loss was referred to our clinic. Other causes of chronic abdominal pain were investigated and excluded. The compression on celiac artery was detected on Doppler ultrasound and diagnosis was confirmed by computed tomography angiography. The patient underwent laparoscopic release of median arcuate ligament. There were no intraoperative complications; however, partial pain response was observed postoperatively that necessitated para-spinal ganglion blockage. The patient is symptom-free in 1-year follow-up period.

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“…Treatment of this condition with surgical release of the median arcuate ligament via laparoscopic approach has been shown to be safe and effective in improving both physical and psychological health of affected children and psychological health of their parents. 26,27…”

Section: Median Arcuate Ligament Syndromementioning

confidence: 99%

Clinical Presentation, Diagnosis, and Management of Mesenteric Vasculopathies in Pediatric Patients

Khoncarly

Clark

et al. 2020

Dig Dis Interv

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Mesenteric vasculopathies in pediatric patients pose a challenge for clinicians due to their nonspecific clinical presentations and the lack of reported clinical experience. Few cases have been reported in literature and knowledge of mesenteric vasculopathies has not been thoroughly understood. Diagnosis and management of mesenteric vasculopathies in children is heavily dependent on proper radiologic imaging. In this review, we attempt to consolidate information regarding the clinical presentation, diagnosis, and management of mesenteric vasculopathies of congenital malformations, genetic anomalies, vasculitis, and ischemic insults. Pediatric interventional radiology is providing a forefront of minimally invasive techniques for both diagnosis and treatment of various pathologies of the mesenteric vasculature.

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Pediatric Median Arcuate Ligament Syndrome: Surgical Outcomes and Quality of Life

Cited by 29 publications

References 15 publications

Pediatric Chronic Abdominal Pain and Median Arcuate Ligament Syndrome: A Review and Psychosocial Comparison

Pediatric Chronic Abdominal Pain and Median Arcuate Ligament Syndrome: A Review and Psychosocial Comparison

Laparoscopic treatment of median arcuate ligament syndrome: A rare cause of chronic severe abdominal pain

Clinical Presentation, Diagnosis, and Management of Mesenteric Vasculopathies in Pediatric Patients

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