Reversible gastroparesis: Functional documentation of celiac axis compression syndrome and postoperative improvement

Magdiel - Trinidad Hernandez, Phillip Keith, Ibrahim Habib, John V. White

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Celiac axis compression syndrome has generated much controversy since its original description in 1963. The main symptoms are postprandial epigastric abdominal pain, regurgitation of undigested food, and weight loss, all of which are caused by gastric ischemia from impingement of the celiac axis by the median arcuate ligament of the diaphragm. These symptoms are seen in other common disorders such as chronic mesenteric ischemia and gastroparesis. This makes the diagnosis of celiac axis compression syndrome a true challenge for the clinician. We present data on three patients successfully treated. The pre- and postoperative studies clearly demonstrate a resolution of the condition. The duplex ultrasound images clearly show variable compression on the celiac axis. The angiogram presented shows a classic image of the disease. A review of the data has enabled us to develop an algorithm for the diagnosis of this disease.

Original languageEnglish (US)
Pages (from-to)339-344
Number of pages6
JournalAmerican Surgeon
Volume72
Issue number4
StatePublished - Apr 2006
Externally publishedYes

Fingerprint

Gastroparesis
Documentation
Abdomen
Diaphragm
Ligaments
Abdominal Pain
Weight Loss
Stomach
Angiography
Ischemia
Food

ASJC Scopus subject areas

  • Surgery

Cite this

Reversible gastroparesis : Functional documentation of celiac axis compression syndrome and postoperative improvement. / Trinidad Hernandez, Magdiel -; Keith, Phillip; Habib, Ibrahim; White, John V.

In: American Surgeon, Vol. 72, No. 4, 04.2006, p. 339-344.

Research output: Contribution to journalArticle

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