BACKGROUND: The role of surgical treatment for the relatively rare celiac artery compression syndrome remains controversial. We used a tailored operative approach based on intraoperative findings. STUDY DESIGN: We retrospectively reviewed operative and follow-up data from the seven patients at our institution who underwent tailored operative intervention for celiac artery compression syndrome during a 15-year period. RESULTS: In all patients, decompression of the celiac axis was accomplished by division of the sympathetic neural fibers and the median arcuate ligament. In five cases in which intraoperative evaluation demonstrated compromised celiac artery flow after decompression, revascularization was also performed: three patients underwent an aortoceliac bypass, which was performed with a polytetrafluoroethylene graft in two cases and a vein graft in one case; the fourth patient had an angioplasty using a knitted polyester fiber patch, and the fifth patient underwent aortic reimplantation of the celiac artery. The tailored operative approach (decompression alone or with revascularization) for celiac artery compression syndrome, determined on the basis of intraoperative findings, provided complete (immediate and long-term) relief of preoperative symptoms in all seven patients. CONCLUSIONS: The tailored approach to operative intervention for celiac artery compression syndrome, which is based on individual operative findings, offers patients an excellent chance for immediate and long-term freedom from symptoms.
BACKGROUND: The role of surgical treatment for the relatively rare celiac artery compression syndrome remains controversial. We used a tailored operative approach based on intraoperative findings. STUDY DESIGN: We retrospectively reviewed operative and follow-up data from the seven patients at our institution who underwent tailored operative intervention for celiac artery compression syndrome during a 15-year period. RESULTS: In all patients, decompression of the celiac axis was accomplished by division of the sympathetic neural fibers and the median arcuate ligament. In five cases in which intraoperative evaluation demonstrated compromised celiac artery flow after decompression, revascularization was also performed: three patients underwent an aortoceliac bypass, which was performed with a polytetrafluoroethylene graft in two cases and a vein graft in one case; the fourth patient had an angioplasty using a knitted polyester fiber patch, and the fifth patient underwent aortic reimplantation of the celiac artery. The tailored operative approach (decompression alone or with revascularization) for celiac artery compression syndrome, determined on the basis of intraoperative findings, provided complete (immediate and long-term) relief of preoperative symptoms in all seven patients. CONCLUSIONS: The tailored approach to operative intervention for celiac artery compression syndrome, which is based on individual operative findings, offers patients an excellent chance for immediate and long-term freedom from symptoms.
Authors: Mario Sianesi; Paolo Soliani; Maria Francesca Arcuri; Lamia Bezer; Gioacchino Iapichino; Paolo Del Rio Journal: Dig Dis Sci Date: 2006-12-08 Impact factor: 3.487
Authors: Costantino Eretta; Alessia Ferrarese; Sonja Olcese; Mikaela Imperatore; Elisa Francone; Claudio Bianchi; Maria Santina Bruno; Carlo Sagnelli; Maria Di Martino; Savina Ranghetti; Valter Martino; Emilio Falco; Stefano Berti Journal: Open Med (Wars) Date: 2016-07-13
Authors: Louisa Jd van Dijk; Desirée van Noord; Annemarie C de Vries; Jeroen J Kolkman; Robert H Geelkerken; Hence Jm Verhagen; Adriaan Moelker; Marco J Bruno Journal: United European Gastroenterol J Date: 2018-12-04 Impact factor: 4.623