Coeliac artery compression syndrome: The effect of decompression

Author:

Geelkerken R H12,van Bockel J H1,De Roos W K1,Hermans J3

Affiliation:

1. Department of Surgery, University Hospital, Leiden, The Netherlands

2. Department of Surgery, The Red Cross Hospital, The Hague, The Netherlands

3. Department of Medical Statistics, University Hospital, Leiden, The Netherlands

Abstract

Abstract The effects of operation to decompress the coeliac artery were evaluated in 11 consecutive patients with coeliac artery compression syndrome. Immediately after the operation all patients were free of symptoms. Three months later three of the 11 had recurrent abdominal pain. Long-term follow-up between 15 and 23 years, obtained by questionnaire, was available for eight patients. All eight had return of symptoms similar to those before surgery. These unsatisfactory results suggest that operation should not be undertaken in patients with vague upper abdominal complaints and compression of the coeliac artery by the median arcuate ligament, who do not otherwise have pathological conditions which might explain their symptoms.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference21 articles.

1. Experience with coeliac axis compression syndrome;Edwards;Br Med J,1970

2. Long-term evaluation with celiac band syndrome;Evans;Surgery,1974

3. Celiac axis compression syndrome: factors predicting a favorable outcome;Williams;Surgery,1985

4. Late results following operative repair for coeliac artery compression syndrome;Reilly;J Vasc Surg,1985

5. Further evidence supporting the existence of the celiac artery compression syndrome;Kernohan;Arch Surg,1985

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