Laparoscopic release of celiac artery compression syndrome facilitated by laparoscopic ultrasound scanning to confirm restoration of flow

Roayaie, Sasan; Jossart, Gregory; Gitlitz, David B.; Lamparello, Patrick J.; Hollier, Larry H.; Gautier, Michel

doi:10.1067/mva.2000.107574

Cited by 141 publications

(114 citation statements)

References 6 publications

(5 reference statements)

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“…9 Reports on CACS in a preadult age group have not been found in the literature. In adults, CACS is a well-known disorder, [10][11][12] whereas CA stenosis is more frequent than external compression in this age group. 13 However, arteriosclerotic narrowing is not a rare finding in asymptomatic individuals with generalized peripheral arteriosclerosis.…”

Section: Discussionmentioning

confidence: 99%

Celiac Artery Compression Syndrome in Children, Adolescents, and Young Adults

Scholbach

2006

J of Ultrasound Medicine

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Objective. Abdominal pain is one of the most common conditions in childhood and adolescence. Celiac artery compression syndrome (CACS) is rarely suspected in this population. We present clinical and sonographic features from a series of 59 patients with this disorder. Methods. A total of 3449 patients from 0 to 18 years were investigated with 7639 abdominal color duplex sonographic examinations. Celiac artery flow velocity was measured at the branching off from the aorta in inspiration, expiration, and in between. Diagnosis of CACS was made if a greater than 2‐fold acceleration of peak systolic flow in the celiac artery compared to the abdominal aorta or a peak systolic velocity greater than 200 cm/s was measured in the mid position and if a variation of flow velocity occurred during respiration. In 22 cases, angiography (21 magnetic resonance angiography and 1 digital subtraction angiography) was used to prove sonographic diagnosis. Results. Fifty‐nine patients (among them 81% female) from 22 months to 19 years (clustering between 14 and 17 years) fulfilling color Doppler sonographic criteria of CACS were found, for a prevalence of 1.7%. Their symptoms included, among others, abdominal pain (71%), nausea (29%), thoracic pain (22%), heartburn (17%), weight loss (15%), vomiting (15%), systolic murmur (15%), postprandial accentuation of symptoms (15%), diarrhea (14%), respiratory discomfort (14%), and syncope (12%). Conclusions. Celiac artery compression syndrome is more prevalent than expected, and conditions not usually connected to the disease were found. Alertness to CACS is recommended, especially in patients with a combination of characteristic symptoms. Color Doppler sonography is the modality of choice for diagnosing CACS.

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Section: Discussionmentioning

confidence: 99%

Celiac Artery Compression Syndrome in Children, Adolescents, and Young Adults

Scholbach

2006

J of Ultrasound Medicine

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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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“…In the treatment of CACS, only PTA and surgical approaches were suggested in the documents reviewed (9,(16)(17)(18). Although in a few reported cases the symptoms were completely relieved after performing PTA; the symptoms of most patients receiving PTA are only relieved for a short time (18,19 (19).…”

Section: Well Understood Until Recently (3) In a Western Country Thmentioning

confidence: 99%