{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:21:54Z","timestamp":1785799314777,"version":"3.56.0"},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Background: Median arcuate ligament syndrome(MALS) is a rare condition thatmay cause significant clinical manifestations, including abdominal pain and weight loss. Its diagnosis may be difficult and very often delayed. The laparoscopic approach became the standard treatment of MALS.  Aim: To assess the outcome of laparoscopic treatment in patients with MALS.  Method: The data of sixpatients with MALS who were subjected to laparoscopic sectioning of the median arcuate ligament were retrospectively reviewed.The following data were evaluated: age, gender, clinical and diagnostic tests findings, ASA score, operative findings and complications, postoperative complications and mortality, hospital stay duration, and hospital readmission.The diagnosis of MALS was established by CT angiography and\/or MR angiography.  Results: There were four (66.7%) women and two (33.3%) men aged from 32 to 60 years. The main symptoms were epigastric pain (100%) and weight loss (66.7%). The findings of high-grade stenosis of the proximal celiac axis and poststenotic dilation confirmed on angiography confirmed the diagnosis in all patients. Surgical procedure was uneventful in all patients. The only postoperative complication was urinary retention that occurred in a male. At three-month follow-up, all patients were asymptomatic.  Conclusion: Laparoscopic treatment of MALS is safe and effective in relieving the clinical manifestations of patients.<\/jats:p>","DOI":"10.1590\/0102-672020190001e1495","type":"journal-article","created":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T23:25:29Z","timestamp":1589930729000},"source":"Crossref","is-referenced-by-count":25,"title":["Treatment of median arcuate ligament syndrome: outcome of laparoscopic approach"],"prefix":"10.1590","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7622-8592","authenticated-orcid":false,"given":"Julio Cezar Uili","family":"COELHO","sequence":"first","affiliation":[{"name":"Hospital Nossa Senhora das Gra\u00e7as,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8897-8836","authenticated-orcid":false,"given":"Andr\u00e9a Virmond El","family":"HOSNI","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora das Gra\u00e7as,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1465-5430","authenticated-orcid":false,"given":"Christiano MarloPaggi","family":"CLAUS","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora das Gra\u00e7as,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9941-8113","authenticated-orcid":false,"given":"Yan Sacha Hass","family":"AGUILERA","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora das Gra\u00e7as,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4415-7299","authenticated-orcid":false,"given":"Gisele Pitrowsk","family":"ABOT","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora das Gra\u00e7as,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4864-4940","authenticated-orcid":false,"given":"Alexandre Teixeira Coutinho de","family":"FREITAS","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora das Gra\u00e7as,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3452-2398","authenticated-orcid":false,"given":"Marco Aur\u00e9lio Raeder da","family":"COSTA","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora das Gra\u00e7as,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"key":"ref1","article-title":"Prevalence of hepatic arterial variations with implications in pancreatoduodenectomy","volume":"32","author":"Balzan SMP","year":"2019","journal-title":"ABCD Arq Bras Cir Dig"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1590\/s0102-6720201500030020","article-title":"Laparoscopic treatment of celiac axis compression syndrome Case Report","volume":"28","author":"Coelho JCU","year":"2015","journal-title":"ABCD Arq Bras Cir Dig"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1089\/lap.2018.0204","article-title":"The laparoscopic management of median arcuate ligament syndrome and its long-term outcomes","volume":"28","author":"De'Ath HD","year":"2018","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"731","DOI":"10.2214\/ajr.95.3.731","article-title":"Compression of the celiac trunk and abdominal angina","volume":"95","author":"Dunbar JD","year":"1965","journal-title":"Am J Roentgenol Radium TherNucl Med"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"e75","DOI":"10.1016\/j.jamcollsurg.2014.08.009","article-title":"Laparoscopic repair of median arcuate ligament syndrome A new approach","volume":"219","author":"Fajer S","year":"2014","journal-title":"J Am Coll Surg"},{"key":"ref6","first-page":"547","article-title":"A rare obstruction of the coeliac artery report of a case","volume":"52","author":"Harjola PT","year":"1963","journal-title":"Ann ChirGynaecol Fenn"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1007\/s00464-016-4948-0","article-title":"Median arcuate ligament syndrome in athletes","volume":"31","author":"Harr JN","year":"2017","journal-title":"Surg Endosc"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1162","DOI":"10.1177\/000313481908501019","article-title":"Median Arcuate Ligament Syndrome and Its Associated Conditions","volume":"85","author":"Huynh DTK","year":"2019","journal-title":"Am Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/j.jvs.2012.04.057","article-title":"Open and laparoscopic treatment of median arcuate ligament syndrome","volume":"56","author":"Jimenez JC","year":"2012","journal-title":"J Vasc Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"4029","DOI":"10.1007\/s00464-018-6218-9","article-title":"Robotic-assisted laparoscopic median arcuate ligament release: 7-year experience from a single tertiary care center","volume":"31","author":"Khrucharoen J","year":"2018","journal-title":"Surg Endosc"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1001\/jamasurg.2016.0002","article-title":"Median arcuate ligament syndrome Review of this rare disease","volume":"151","author":"Kim EN","year":"2016","journal-title":"JAMA Surg"},{"key":"ref12","first-page":"252","article-title":"Laparoscopic treatment of celiac axis compression by the median arcuate ligament and endovascular repair of a pancreaticoduodenal artery aneurysm case report","volume":"17","author":"Miyamotto M","year":"2018","journal-title":"J Vasc Bras"},{"key":"ref13","first-page":"e3","article-title":"Median arcuate ligament syndrome","volume":"22","author":"Ng FH","year":"2016","journal-title":"Hong Kong Med J"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/s12262-016-1448-3","article-title":"Laparoscopic division of median arcuate ligament for the celiac axis compression syndrome. Two Case Reports with Review of Literature","volume":"78","author":"Ramakrishnan P","year":"2016","journal-title":"Indian J Surg"},{"key":"ref15","first-page":"337","article-title":"Spontaneous bleeding of the inferior pancreatic-duodenal artery in median arcuate ligament syndrome do not miss the diagnosis","volume":"7","author":"Rebelos E","year":"2019","journal-title":"Oxf Med Case Reports"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1590\/S0102-67202015000300007","article-title":"Lower esophageal sphincter pressure measurement under standardized inspiratory maneuvers","volume":"28","author":"Ribeiro JBS","year":"2015","journal-title":"ABCD Arq Bras Cir Dig"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1067\/mva.2000.107574","article-title":"Laparoscopic release of celiac artery compression syndrome facilitated by laparoscopic ultrasound scanning to confirm restoration of flow","volume":"32","author":"Roayaie S","year":"2000","journal-title":"J Vasc Surg"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1089\/lap.2019.0337","article-title":"Robotic Approach for Median Arcuate Ligament Release in Pediatrics","volume":"30","author":"Roberts B","year":"2020","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.jvs.2008.12.078","article-title":"Laparoscopic management of celiac artery compression syndrome","volume":"50","author":"Roseborough GS","year":"2009","journal-title":"J Vasc Surg"},{"key":"ref20","doi-asserted-by":"crossref","DOI":"10.1590\/0102-672020180001e1403","article-title":"Anatomical variations of the celiac trunk a systematic review","volume":"31","author":"Santos PV","year":"2018","journal-title":"ABCD Arq Bras Cir Dig"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"413","DOI":"10.5811\/cpcem.2019.9.44075","article-title":"Atypical Presentation of Median Arcuate Ligament Syndrome in the Emergency Department","volume":"3","author":"Sapadin A","year":"2019","journal-title":"Clin Pract Cases Emerg Med"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"108","DOI":"10.5582\/irdr.2019.01031","article-title":"Laparoscopic treatment of median arcuate ligament syndrome","volume":"8","author":"Sun Z","year":"2019","journal-title":"Intractable Rare Dis Res"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v33n1\/0102-6720-abcd-33-01-e1495.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,23]],"date-time":"2021-01-23T19:10:30Z","timestamp":1611429030000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202020000100304&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020]]}},"alternative-id":["S0102-67202020000100304"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020190001e1495","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2020]]},"article-number":"e1495"}}