Document Detail

The celiac axis compression syndrome (CACS): critical review in the laparoscopic era.
MedLine Citation:
PMID:  20373834     Owner:  NLM     Status:  MEDLINE    
The celiac axis compression syndrome (CACS) due to median arcuate ligament (MAL) was first described by Harjola in 1963; originating postpandrial abdominal pain, weight loss, epigastric bruit and celiac axis stenosis > 75% in angiographic studies. This clinical condition has been the origin of controversies about its pathogenesis, diagnosis and its long term clinical results. Advances in diagnostic imaging as 64 multidetector-row CT (MDCT), 3-D reconstruction, magnetic resonance (MR) and color duplex ultrasonography, provide better understanding of the syndrome and allow to identify the best candidates for surgical division of MAL fibers. Since the introduction of laparoscopic approach, and also endovascular procedures, in 2000, a new perspective has established in this challenging syndrome. With the occasion of our own experience, a critical review of the syndrome is presented.
Javier A-Cienfuegos; F Rotellar; V Valent?; J Arredondo; N Pedano; A Bueno; I Vivas
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Revista espa?ola de enfermedades digestivas : organo oficial de la Sociedad Espa?ola de Patolog?a Digestiva     Volume:  102     ISSN:  1130-0108     ISO Abbreviation:  Rev Esp Enferm Dig     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-04-08     Completed Date:  2010-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007566     Medline TA:  Rev Esp Enferm Dig     Country:  Spain    
Other Details:
Languages:  eng; spa     Pagination:  193-201     Citation Subset:  IM    
Department of General and Digestive Surgery, Cl?nica Universidad de Navarra, Pamplona, Spain.
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MeSH Terms
Celiac Plexus* / radiography,  surgery,  ultrasonography
Nerve Compression Syndromes* / diagnosis,  physiopathology,  surgery

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