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Experience with coeliac axis compression syndrome.

A J Edwards, J D Hamilton, W D Nichol

    British Medical Journal
    |February 7, 1970
    PubMed
    Summary
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    Coeliac axis compression syndrome is rare. Surgical treatment for this condition yielded poor results, suggesting caution when diagnosing and treating based on epigastric bruits and suspected compression.

    Area of Science:

    • Gastroenterology
    • Vascular Surgery

    Background:

    • Coeliac axis compression syndrome (CACS) is a debated cause of abdominal pain.
    • Surgical intervention is sometimes pursued for suspected CACS.

    Purpose of the Study:

    • To evaluate the outcomes of surgical treatment for CACS.
    • To assess the prevalence and significance of epigastric bruits in relation to dyspepsia.

    Main Methods:

    • Case report of seven patients with CACS, five undergoing surgery.
    • Survey of 200 healthy adults to detect epigastric bruits and assess dyspepsia prevalence.

    Main Results:

    • Only two of the five surgically treated CACS patients experienced positive outcomes.
    • Epigastric bruits were found in 6.5% of healthy adults; only one had dyspepsia.

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  • Overall dyspepsia prevalence in the healthy cohort was 12.5%.

    • Conclusions:

    • Caution is advised against attributing abdominal pain solely to CACS.
    • Routine arteriography for suspected CACS based on clinical findings may be unwarranted.
    • The clinical significance of epigastric bruits in diagnosing CACS requires further investigation.