{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T15:06:28Z","timestamp":1790003188193,"version":"4.0.1"},"reference-count":80,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With the increasing use of minimally invasive surgery, understanding of the precise anatomy involved in median arcuate ligament syndrome (MALS) has advanced. However, surgical strategies and treatment principles for MALS remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>At the 37th Annual Meeting of the Japan Society for Endoscopic Surgery, an expert consensus conference titled \u201cAOB Consensus Meeting\u201d was held. Eleven experts in upper gastrointestinal, hepatobiliary\u2010pancreatic, and vascular surgery discussed five clinical questions (CQs) regarding MALS. Systematic literature reviews were conducted, and draft consensus statements were developed. Evidence levels were assessed based on the MINDS guideline, and final consensus statements were established through a second\u2010round Delphi voting process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirteen consensus statements were formulated across the five CQs, all achieving over 75% agreement among the experts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This consensus provides evidence\u2010 and experience\u2010based recommendations for the diagnosis and surgical treatment of MALS. These consensus statements are expected to serve as a practical guide for specialists and surgeons, promoting the safe execution and appropriate global dissemination of MALS treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70208","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T08:10:41Z","timestamp":1766131841000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Consensus Statement on Precision Anatomy and Treatment Strategies for Median Arcuate Ligament Syndrome:\n                    <scp>AOB<\/scp>\n                    Consensus Meeting"],"prefix":"10.1111","volume":"19","author":[{"given":"Hidenori","family":"Haruta","sequence":"first","affiliation":[{"name":"Minimally Invasive Surgery Center Yotsuya Medical Cube  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaharu","family":"Higashida","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Kawasaki Medical School  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuyuki","family":"Hoshina","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshio","family":"Takayama","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0628-6631","authenticated-orcid":false,"given":"Tomotaka","family":"Ueno","sequence":"additional","affiliation":[{"name":"Department of Surgery Tohoku University Graduate School of Medicine  Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saya","family":"Chiba","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, General and Transplant Surgery Jichi Medical University  Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noboru","family":"Ideno","sequence":"additional","affiliation":[{"name":"Department of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6285-6883","authenticated-orcid":false,"given":"Naoki","family":"Ikenaga","sequence":"additional","affiliation":[{"name":"Department of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0720-4156","authenticated-orcid":false,"given":"Shunji","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Kawasaki Medical School  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasunaru","family":"Sakuma","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, General and Transplant Surgery Jichi Medical University  Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2148-4852","authenticated-orcid":false,"given":"Toshiya","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenoki","family":"Ouchida","sequence":"additional","affiliation":[{"name":"Department of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko","family":"Kitagawa","sequence":"additional","affiliation":[{"name":"Department of Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiko","family":"Umezawa","sequence":"additional","affiliation":[{"name":"Minimally Invasive Surgery Center Yotsuya Medical Cube  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.0002"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20473"},{"key":"e_1_2_13_4_1","unstructured":"D. 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