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June 29, 2018 7:03 am
A recent study (C Stiles-Shields et al. JPGN 2018; 66: 71) reports on 32 cases of median arcuate ligament syndrome (MALS) from a single center, 2011-17. To me, this is an astounding number of individuals who were operated on for this disorder. As the authors note, “MALS remains a controversial and vexing condition. 13% to 50% of healthy patients may exhibit radiographic features of celiac artery compression.”
While the authors note that pain symptoms improved significantly, they report that “comorbid psychological conditions were common, occurring in about half the sample before and after surgery.”
My take: If one finds celiac artery compression and suspects MALS, it is unclear to me if an operation is indicated and how to determine when it is indicated.
Related blog post:
Proctor Creek Trail
Posted by gutsandgrowth
Categories: Pediatric Gastroenterology Intestinal Disorder
Tags: median arcuate ligament syndrome
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Thanks for posting this article – the JPGN June 2018 CME/MOC is also on this article! Sandeep
By Sandeep Gupta on June 29, 2018 at 12:10 pm
[…] What to Make of Median Arcuate Ligament Syndrome […]
By Seeing More MALS Publications | gutsandgrowth on May 6, 2021 at 7:01 am