Open Median Arcuate Ligament Release With Complete Celiac Plexus Neurolysis Provides Substantial Relief in Symptomatic Patients
نویسندگان
چکیده
Median arcuate ligament syndrome (MALS) is a clinical entity that has historically been met with significant equipoise on how to diagnose and treat the constellation of symptoms. Our objective was describe distinct patient outcomes following open median release complete celiac plexus neurolysis in patients diagnosed MALS. We performed prospective analysis referred for MALS at single institution between February 2020 January 2022. assessed duplex ultrasound studies, abdominal computed tomography angiography results, nerve block procedures, reported questionnaires. Patients who experienced symptomatic relief from were offered surgical neurolysis. Their preoperative postoperative health quality life measures using 36-item Short-Form Health Survey (RAND). There 75 29 (39%) underwent surgery. Duplex examination revealed increase artery peak systolic velocity end-expiration (211 cm/s 276 cm/s), only 55% having J-hooked appearance angiography. All transgastric combination bupivacaine triamcinolone. After block, had mean 207 hours (48-1008 hours) their Postoperatively, 16 completed improvement noted each category questionnaire (Fig 1). Significant can also be appreciated Fig 2. Surgical an average weight gain 8.8 kg (range, 1.3-34 kg) follow-up 8 months. no perioperative wound healing complications. data suggest are carefully selected have benefit Wide critical same diagnostic imaging findings not consistent across all patients. Celiac required accurate selection.Fig 2Averages domain Survey.View Large Image Figure ViewerDownload Hi-res image Download (PPT)
منابع مشابه
Celiac plexus neurolysis.
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Ihsan Al-Bayati, MD, First Year Resident, Department of Internal Medicine, Texas Tech University, Paul L. Foster School of Medicine Richard W. McCallum, MD, Professor and Founding Chair of Medicine, Department of Internal Medicine Director, Center of Neurogastroenterology and GI Motility, El Paso, TX Median arcuate ligament syndrome is an uncommon disorder first described in the 1960s. It is ch...
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Median arcuate ligament syndrome is a rare cause of abdominal pain which results from compression of the celiac artery (CA) or rarely, the superior mesenteric artery by a ligament formed by the right and left crura of the diaphragm. We report a case of open surgical decompression of the CA by division of the median arcuate ligament for a 37-year-old female patient who had suffered from chronic ...
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 2023
ISSN: ['1085-875X', '0741-5214', '1097-6809']
DOI: https://doi.org/10.1016/j.jvs.2023.03.465