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[Compression of the celiac trunk (author's transl)]
Langenbecks Archiv Fur Chirurgie
|November 12, 1976
Summary
Median arcuate ligament syndrome, a common cause of celiac artery compression, leads to abdominal pain and weight loss. Surgical decompression resolves symptoms in most patients, improving blood flow to the epigastric organs.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Celiac artery compression, often due to median arcuate ligament or fibromatous ganglion tissue, is a frequent cause of isolated arterial restriction.
- Symptoms mimic angina abdominalis, including epigastric pain, postprandial pain, weight loss, nausea, vomiting, and diarrhea.
- Abdominal vascular murmurs are present in 93% of patients with severe celiac artery compression.
Purpose of the Study:
- To investigate the relationship between the severity of celiac artery stenosis and clinical presentation.
- To evaluate the effectiveness of surgical decompression for celiac artery compression syndrome.
- To determine necessary interventions for hypoplastic celiac arteries.
Main Methods:
- Angiographic assessment of 31 patients with proven celiac artery compression stenosis.
- Intraoperative findings correlated with angiographic results.
- Surgical decompression or vessel widening/bypass for hypoplastic arteries.
Main Results:
- Eleven of 31 patients required surgery due to severe stenosis or occlusion and significant symptoms.
- A correlation was observed between the degree of stenosis and the clinical manifestation.
- Surgical decompression of the celiac artery resulted in complete symptom resolution in 83% of patients.
Conclusions:
- Celiac artery compression syndrome is a significant cause of abdominal complaints, linked to arterial stenosis severity.
- Surgical decompression is a highly effective treatment for symptomatic celiac artery compression.
- Vessel widening or bypass surgery is indicated for hypoplastic celiac arteries to restore adequate blood flow.