Clint S Schoolfield, Jr., MD, Robert A Grossman, MD, Fred J Brody, MD, MBA. George Washington University MFA
Median arcuate ligament syndrome is a rare disorder that typically presents with post-prandial pain, nausea, emesis and weight loss. The etiology of the symptoms is uncertain and it has been proposed that celiac artery compression serves as a biomarker for compression of the celiac nerves. Celiac artery compression can be seen on various imaging modalities and celiac ultrasound is able to provide dynamic measurements of celiac artery velocities. Laparoscopic median arcuate ligament release has been utilized to relieve the compression and alleviate symptoms. We have accrued 60 patients undergoing laparoscopic median arcuate ligament release and analyzed their data. Our study indicates variations in the patient's age and celiac artery velocities are shown to affect patients quality of life measures. This presentation demonstrates our technique for laparoscopic median arcuate ligament release and a proposed predicative table to determine patients' potential benefit from surgery.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88651
Program Number: V028
Presentation Session: Foregut Videos Session
Presentation Type: Video