11 research outputs found
The celiac axis compression syndrome (CACS): critical review in the laparoscopic era
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
Gestión del conocimiento. Perspectiva multidisciplinaria. Volumen 8
El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, volumen 8, de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro es una publicación internacional, seriada, continua, arbitrada de acceso abierto a todas las áreas del conocimiento, que cuenta con el esfuerzo de investigadores de varios países del mundo, orientada a contribuir con procesos de gestión del conocimiento científico, tecnológico y humanístico que consoliden la transformación del conocimiento en diferentes escenarios, tanto organizacionales como universitarios, para el desarrollo de habilidades cognitivas del quehacer diario. La gestión del conocimiento es un camino para consolidar una plataforma en las empresas públicas o privadas, entidades educativas, organizaciones no gubernamentales, ya sea generando políticas para todas las jerarquías o un modelo de gestión para la administración, donde es fundamental articular el conocimiento, los trabajadores, directivos, el espacio de trabajo, hacia la creación de ambientes propicios para el desarrollo integral de las instituciones
Gestión del conocimiento. Perspectiva multidisciplinaria. Volumen 9
El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, volumen 9, de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro es una publicación internacional, seriada, continua, arbitrada de acceso abierto a todas las áreas del conocimiento, que cuenta con el esfuerzo de investigadores de varios países del mundo, orientada a contribuir con procesos de gestión del conocimiento científico, tecnológico y humanístico que consoliden la transformación del conocimiento en diferentes escenarios, tanto organizacionales como universitarios, para el desarrollo de habilidades cognitivas del quehacer diario. La gestión del conocimiento es un camino para consolidar una plataforma en las empresas públicas o privadas, entidades educativas, organizaciones no gubernamentales, ya sea generando políticas para todas las jerarquías o un modelo de gestión para la administración, donde es fundamental articular el conocimiento, los trabajadores, directivos, el espacio de trabajo, hacia la creación de ambientes propicios para el desarrollo integral de las instituciones
The celiac axis compression syndrome (CACS): critical review in the laparoscopic era
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
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Laparoscopic Treatment of Median Arcuate Ligament Syndrome: Analysis of Long-Term Outcomes and Predictive Factors
Background: Laparoscopic arcuate ligament release has been demonstrated a valid therapeutic option for arcuate ligament syndrome. Nevertheless, long-term follow-up and predictive factors have not been described for this treatment.
Methods: Clinical and surgical data and short- and long-term outcomes together with the impact of the degree of stenosis of the celiac trunk were analyzed in 13 consecutive patients who underwent laparoscopic arcuate ligament release between 2001 and 2013.
Results: Thirteen patients (12 F/1 M) underwent surgery. The median age was 32 years old, and their mean body mass index was 20.7 (range 14.7-25). The 13 patients presented with intense postprandial abdominal pain. Ten cases were associated with weight loss. The median duration of symptoms was 24 months (range 2-240). Three patients presented symptoms associated with superior mesenteric artery syndrome. Median operative time was 120 min (range 90-240), and there were no conversions to open surgery. Median hospital stay was 3 days (range 2-14). Over a median follow-up of 117 months (range 45-185), nine patients had excellent results although two required endovascular procedures at 70 and 24 months after surgery. Four patients (30.7%) experienced poor outcomes. When we analyzed the impact of the degree of occlusion of the celiac trunk, we observed that in patients with severe occlusion (> 70%), better results were obtained, with complete resolution of symptoms in 71% of cases.
Conclusion: Laparoscopic arcuate ligament release constitutes an excellent treatment for arcuate ligament syndrome. The degree of occlusion of the celiac trunk may be a factor predictive of long-term outcomes