Systematic Review of the Efficacy of Treatment for Median Arcuate Ligament Syndrome
Open accessAbstract
OBJECTIVE: Since the first description of the median arcuate ligament syndrome (MALS), the existence for the syndrome and the efficacy of treatment for it have been questioned. METHODS: A systematic review conforming to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement was conducted, with a broader view on treatment for MALS including any kind of coeliac artery release, coeliac plexus resection, and coeliac plexus blockage, irrespective of age. Online databases were used to identify papers published between 1963 and July 2021. The inclusion criteria were abdominal symptoms, proof of MALS on imaging, and articles reporting at least three patients. Primary outcomes were symptom relief and quality of life (QoL). RESULTS: Thirty-eight studies describing 880 adult patients and six studies describing 195 paediatric patients were included. The majority of the adult studies reported symptom relief of more than 70% from three to 228 months after treatment. Two adult studies showed an improved QoL after treatment. Half of the paediatric studies reported symptom relief of more than 70% from six to 62 months after laparoscopic coeliac artery release, and four studies reported an improved QoL. Thirty-five (92%) adult studies and five (83%) paediatric studies scored a high or unclear risk of bias for the majority of the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) items. The meaning of coeliac plexus resection or blockage could not be substantiated. CONCLUSION: This systematic review suggests a sustainable symptom relief of more than 70% after treatment for MALS in the majority of adult and paediatric studies; however, owing to the heterogeneity of the inclusion criteria and outcome parameters, the risk of bias was high and a formal meta-analysis could not be performed. To improve care for patients with MALS the next steps would be to deal with reporting standards, outcome definitions, and consensus descriptions of the intervention(s), after which an appropriate randomised controlled trial should be performed.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A systematic review included 38 studies comprising 880 adult patients and six studies on 195 paediatric patients with MALS. Durable symptom relief following open, laparoscopic, or video assisted retroperitoneal endoscopic CA release was >70% both in adults and children.
“A systematic review included 38 studies comprising 880 adult patients and six studies on 195 paediatric patients with MALS. 97 Durable symptom relief following open, laparoscopic, or video assisted retroperitoneal endoscopic CA release was > 70% both in adults and children.”
Typical patients are 40 years old at intervention and 73% are female.
“Typical patients are 40 years old at intervention and 73% are female.”
In the few studies that measured quality of life, improvement was reported after surgery for MALS.
“In the few studies that measured quality of life, improvement was reported after surgery.”
Cites
The PRISMA 2020 statement: An updated guideline for reporting systematic reviews
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., et al. (2021) · BMJ · doi:10.1136/bmj.n71 · Cited by 108,283 · see citing works
QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies
Whiting, P. F., Rutjes, A. W. S., Westwood, M. E., Mallett, S., Deeks, J. J., Reitsma, J. B., Leeflang, M. M. G., Sterne, J. A. C., Bossuyt, P. M. M., & the QUADAS-2 Group* (2011) · Annals of Internal Medicine · doi:10.7326/0003-4819-155-8-201110180-00009 · Cited by 14,199 · see citing works
Editor's Choice – Management of the Diseases of Mesenteric Arteries and Veins
Björck, M., Koelemay, M., Acosta, S., Bastos Goncalves, F., Kölbel, T., Kolkman, J. J., Lees, T., Lefevre, J. H., Menyhei, G., Oderich, G., et al. (2017) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2017.01.010 · Cited by 658 · see citing works
Self-citationLaparoscopic excision of endometriosis: A randomized, placebo-controlled trial
Abbott, J., Hawe, J., Hunter, D., Holmes, M., Finn, P., & Garry, R. (2004) · Fertility and Sterility · doi:10.1016/j.fertnstert.2004.03.046 · Cited by 502 · see citing works
COMPRESSION OF THE CELIAC TRUNK AND ABDOMINAL ANGINA
DUNBAR, J. D., Molnar, W., Beman, F. M., & Marable, S. A. (1965) · American Journal of Roentgenology · doi:10.2214/ajr.95.3.731 · Cited by 444 · see citing works
Swank, D., Swank-Bordewijk, S. C. G., Hop, W., van Erp, W., Janssen, I. M. C., Bonjer, H. J., & Jeekel, J. J. (2003) · The Lancet · doi:10.1016/s0140-6736(03)12979-0 · Cited by 347 · see citing works
Late results following operative repair for celiac artery compression syndrome
Reilly, L. M., Ammar, A. D., Stoney, R. J., & Ehrenfeld, W. K. (1985) · Journal of Vascular Surgery · doi:10.1016/0741-5214(85)90177-6 · Cited by 267 · see citing works
A Placebo-Controlled Surgical Trial of the Treatment of Migraine Headaches
Guyuron, B., Reed, D., Kriegler, J. S., Davis, J., Pashmini, N., & Amini, S. B. (2009) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e3181adcf6a · Cited by 264 · see citing works
Open and laparoscopic treatment of median arcuate ligament syndrome
Jimenez, J. C., Harlander-Locke, M., & Dutson, E. P. (2012) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2012.04.057 · Cited by 248 · see citing works
Terlouw, L. G., Moelker, A. D., Abrahamsen, J., Acosta, S., Bakker, O. J., Baumgärtner, I., Boyer, L., Corcos, O., van Dijk, L. J. D., Duran, M., et al. (2020) · United European Gastroenterology Journal · doi:10.1177/2050640620916681 · Cited by 186 · see citing works
Self-citationMedian arcuate ligament syndrome
Goodall, R. J., Langridge, B., Onida, S., Ellis, M. R., Lane, T. R. A., & Davies, A. H. (2019) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2019.11.012 · Cited by 178 · see citing works
The celiac artery compression syndrome: does it exist?
Szilagyi, D. E., Rian, R. L., Elliott, J. P., & Smith, R. F. (1972) · PubMed · Cited by 178 · see citing works
ROGERS, D. M., Thompson, J. E., Garrett, W. V., TALKINGTON, & Patman, R. D. (1982) · Annals of Surgery · doi:10.1097/00000658-198205000-00004 · Cited by 148 · see citing works
Mensink, P. B. F., van Petersen, A. S., Kolkman, J. J., Otte, J. A., Huisman, A. B., & Geelkerken, R. H. (2006) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2006.03.038 · Cited by 143 · see citing works
Self-citationCeliac artery compression syndrome managed by laparoscopy
Baccari, P., Civilini, E., Dordoni, L., Melissano, G., Nicoletti, R., & Chiesa, R. (2009) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2008.11.124 · Cited by 130 · see citing works
Laparoscopic management of celiac artery compression syndrome
Roseborough, G. S. (2009) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2008.12.078 · Cited by 122 · see citing works
Boelens, O. B. A., van Assen, T., Houterman, S., Scheltinga, M. R., & Roumen, R. M. H. (2013) · Annals of Surgery · doi:10.1097/sla.0b013e318285f930 · Cited by 114 · see citing works
Median Arcuate Ligament Syndrome Is Not a Vascular Disease
Weber, J. M., Boules, M., Fong, K. E., Abraham, B., Bena, J., El-Hayek, K. M., Kroh, M., & Park, W. M. (2015) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2015.07.013 · Cited by 106 · see citing works
Laparoscopic versus open celiac ganglionectomy in patients with median arcuate ligament syndrome
Tulloch, A. W., Jiménez, J. C., Lawrence, P. F., Dutson, E., Moore, W. S., Rigberg, D. A., DeRubertis, B. G., & Quiñones‐Baldrich, W. J. (2010) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2010.05.083 · Cited by 103 · see citing works
Median arcuate ligament syndrome in the pediatric population
Mak, G. Z., Speaker, C. R., Anderson, K. E., Stiles‐Shields, C., Lorenz, J. M., Drossos, T., Liu, D. C., & Skelly, C. L. (2013) · Journal of Pediatric Surgery · doi:10.1016/j.jpedsurg.2013.03.003 · Cited by 82 · see citing works
Clinical management of chronic mesenteric ischemia
van Dijk, L. J. D., van Noord, D., de Vries, A. C., Kolkman, J. J., Geelkerken, R. H., Verhagen, H. J. M., Moelker, A. D., & Bruno, M. J. (2018) · United European Gastroenterology Journal · doi:10.1177/2050640618817698 · Cited by 82 · see citing works
Self-citationCeliac compression syndrome: tailored therapy based on intraoperative findings.
Takach, T. J., Livesay, J. J., Reul, G. J., & Cooley, D. A. (1996) · PubMed · Cited by 77 · see citing works
Aschenbach, R., Basche, S., & Vogl, T. J. (2011) · Journal of Vascular and Interventional Radiology · doi:10.1016/j.jvir.2010.11.007 · Cited by 69 · see citing works
Watson, W. C., & SADIKALI, F. (1977) · Annals of Internal Medicine · doi:10.7326/0003-4819-86-3-278 · Cited by 69 · see citing works
Long-term evaluation of the celiac band syndrome.
Evans, W. E. (1974) · PubMed · Cited by 67 · see citing works
Laparoscopic versus robot-assisted surgery for median arcuate ligament syndrome
Michael, V., Smith, T. A., Bazán, H. A., Sternbergh, W. C., Abbas, A. E., & Richardson, W. S. (2013) · Surgical Endoscopy · doi:10.1007/s00464-013-3061-x · Cited by 66 · see citing works
Contemporary management of median arcuate ligament syndrome provides early symptom improvement
Columbo, J. A., Trus, T. L., Nolan, B. W., Goodney, P. P., Rzucidlo, E. M., Powell, R. J., Walsh, D. B., & Stone, D. H. (2015) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2015.01.050 · Cited by 65 · see citing works
Outcome predictors in median arcuate ligament syndrome
Ho, K. K. F., Walker, P. J., Smithers, B. M., Foster, W. J., Nathanson, L. K., O’Rourke, N., Shaw, I. M., & McGahan, T. J. (2017) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2016.11.040 · Cited by 62 · see citing works
Vaziri, K., Hungness, E. S., Pearson, E. G., & Soper, N. J. (2008) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-008-0702-9 · Cited by 62 · see citing works
Treatment of median arcuate ligament syndrome: outcome of laparoscopic approach
Coelho, J. C. U., Hosni, A., Claus, C. M. P., Aguilera, Y. S. H., Gisele Pitrowsk, A. B. O. T., de Freitas, A. C. T., & da Costa, M. A. R. (2020) · ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) · doi:10.1590/0102-672020190001e1495 · Cited by 61 · see citing works
Cienfuegos, J. A., Estévez, M. G., Ruiz‐Canela, M., Pardo, F., Diez-Caballero, A., Vivas, I., Bilbao, J. I., Martí‐Cruchaga, P., Zozaya, G., Valentí, V., et al. (2017) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-017-3635-3 · Cited by 60 · see citing works
Marable, S. A., Kaplan, M. F., Beman, F. M., & Molnar, W. (1968) · The American Journal of Surgery · doi:10.1016/0002-9610(68)90135-9 · Cited by 59 · see citing works
Robotic Surgery for Median Arcuate Ligament Syndrome
Fernstrum, C. J., Pryor, M., Wright, G. P., & Wolf, A. M. (2020) · JSLS Journal of the Society of Laparoscopic & Robotic Surgeons · doi:10.4293/jsls.2020.00014 · Cited by 55 · see citing works
Treatment Options and Outcomes for Celiac Artery Compression Syndrome
Kohn, G. P., Bitar, R. S., Farber, M. A., Marston, W. A., Overby, D. W., & Farrell, T. M. (2011) · Surgical Innovation · doi:10.1177/1553350610397383 · Cited by 52 · see citing works
Skelly, C. L., Stiles-Shields, C., Mak, G. Z., Speaker, C. R., Lorenz, J., Anitescu, M., Dickerson, D. M., Boyd, H., O'Brien, S., & Drossos, T. (2018) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2017.12.078 · Cited by 51 · see citing works
Sultan, S., Hynes, N., Elsafty, N., & Tawfick, W. A. (2013) · Vascular and Endovascular Surgery · doi:10.1177/1538574413500536 · Cited by 50 · see citing works
Bérard, X., Cau, J., Déglise, S., Trombert, D., Saint-Lèbes, B., Midy, D., Corpataux, J.-M., & Ricco, J. (2011) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2011.09.023 · Cited by 47 · see citing works
Coeliac artery compression syndrome: The effect of decompression
Geelkerken, R. H., van Bockel, J. H., de Roos, W. K., & Hermans, J. (1990) · British journal of surgery · doi:10.1002/bjs.1800770728 · Cited by 44 · see citing works
Self-citationReconsidering the ethics of sham interventions in an era of emerging technologies
Niemansburg, S. L., van Delden, J. J. M., Dhert, W. J. A., & Bredenoord, A. L. (2015) · Surgery · doi:10.1016/j.surg.2014.12.001 · Cited by 43 · see citing works
Pediatric Median Arcuate Ligament Syndrome: Surgical Outcomes and Quality of Life
Joyce, D., Antiel, R. M., Oderich, G. S., Gloviczki, P., Tung, J., Grothe, R. M., Absah, I., & Zarroug, A. E. (2013) · Journal of Laparoendoscopic & Advanced Surgical Techniques · doi:10.1089/lap.2013.0438 · Cited by 39 · see citing works
Surgical treatment of the celiac axis compression syndrome
Mihas, A. A., Laws, H. L., & Jander, H. P. (1977) · The American Journal of Surgery · doi:10.1016/0002-9610(77)90154-4 · Cited by 38 · see citing works
Chaum, M., Shouhed, D., Kim, S., Walts, A. E., & Marchevsky, A. M. (2021) · Annals of Diagnostic Pathology · doi:10.1016/j.anndiagpath.2021.151732 · Cited by 38 · see citing works
Barbon, D. A., Hsu, R. C., Noga, J., Lazzara, B., Miller, T. S., & Stainken, B. F. (2021) · Journal of Vascular and Interventional Radiology · doi:10.1016/j.jvir.2021.04.003 · Cited by 37 · see citing works
Laparoscopic treatment of celiac artery compression syndrome in children and adolescents
Klimas, A., Lemmer, A., Bergert, H., Brodhun, M., Scholbach, T., & Großer, K. (2015) · VASA · doi:10.1024/0301-1526/a000446 · Cited by 37 · see citing works
The Laparoscopic Management of Median Arcuate Ligament Syndrome and Its Long-Term Outcomes
De’Ath, H. D., Wong, S., Szentpáli, K., Somers, S. S., Peck, T. E., & Wakefield, C. H. (2018) · Journal of Laparoendoscopic & Advanced Surgical Techniques · doi:10.1089/lap.2018.0204 · Cited by 36 · see citing works
Thoolen, S. J. J., van der Vliet, W. J., Kent, T. S., Callery, M. P., Dib, M. J., Hamdan, A. D., Schermerhorn, M. L., & Moser, A. J. (2015) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2014.10.084 · Cited by 35 · see citing works
Pather, K., Kärkkäinen, J. M., Tenorio, E. R., Bower, T. C., Kalra, M., DeMartino, R. R., Colglazier, J. J., & Oderich, G. S. (2020) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2020.10.074 · Cited by 35 · see citing works
van Petersen, A. S., Kolkman, J. J., Gerrits, D. G., van der Palen, J., Zeebregts, C. J., Geelkerken, R. H., Bruno, M. J., van Dijk, L. J. D., Moelker, A., Peppelenbosch, M. P., et al. (2017) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2016.11.052 · Cited by 34 · see citing works
Self-citationRoumen, R. M. H., Groenendijk, R. P., Sloots, C. E. J., Duthoi, K., Scheltinga, M. R., & Bruijninckx, C. M. A. (2007) · British journal of surgery · doi:10.1002/bjs.6026 · Cited by 32 · see citing works
Khrucharoen, U., Juo, Y., Sanaiha, Y., Finn, J. P., Jiménez, J. C., & Dutson, E. (2019) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2019.06.025 · Cited by 28 · see citing works
Stiles‐Shields, C., Skelly, C. L., Mak, G. Z., Speaker, C. R., Boyd, H. K., O’Brien, S., & Drossos, T. (2018) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000001900 · Cited by 21 · see citing works
Sahm, M., Otto, R., Pross, M., Scholbach, T., & Mantke, R. (2019) · Annals of The Royal College of Surgeons of England · doi:10.1308/rcsann.2019.0121 · Cited by 19 · see citing works
Laparoscopic management of the median arcuate ligament syndrome
Nguyen, T., Neale, M. L., Lane, R. J., Schiavone, V., Samra, J. S., & Hugh, T. J. (2012) · ANZ Journal of Surgery · doi:10.1111/j.1445-2197.2011.05966.x · Cited by 19 · see citing works
Moak, J. P., Ramwell, C. B., Fabian, R. R., Hanumanthaiah, S., Darbari, A., & Kane, T. D. (2020) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2020.12.024 · Cited by 16 · see citing works
Berge, S. T., Safi, N., Medhus, A. W., Sundhagen, J. O., Hisdal, J., & Kazmi, S. S. (2020) · Vascular Health and Risk Management · doi:10.2147/vhrm.s252192 · Cited by 13 · see citing works
Median arcuate ligament (Dunbar) syndrome
Kafadar, M. T., Oğuz, A., Aday, U., Bilge, H., & Başol, Ö. (2021) · Journal of Minimal Access Surgery · doi:10.4103/jmas.jmas_265_20 · Cited by 11 · see citing works
Intestinal angina secondary to compression of the coeliac axis.
Terpstra, J. L. (1966) · PubMed · Cited by 11 · see citing works
Grus, T., Lambert, L., Vidim, T., Grusová, G., & Klika, T. (2017) · Acta chirurgica Belgica · doi:10.1080/00015458.2017.1371490 · Cited by 4 · see citing works
Dunbar syndrome - single-center experience with surgical treatment.
Grus, T., Klika, T., Grusová, G., Lindner, J., & Lambert, L. (2018) · Perspectives in Surgery · doi:10.33699/pis.2018.97.11.514-517 · Cited by 3 · see citing works
Laparoscopic Management of Median Arcuate Ligament Syndrome: Single Center Experience
Reddy, E. V., Shroff, G., Reddy, V. B., & Phanendra, A. (2019) · World Journal of Laparoscopic Surgery with DVD · doi:10.5005/jp-journals-10033-1358 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Koelemay, M. J., Geelkerken, R. H., Kärkkäinen, J., Leone, N., Antoniou, G. A., de Bruin, J. L., Gombert, A., Gottsätter, A., Iborra, E., Ronchey, S., et al. (2025) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2025.06.010 · Cited by 123 · see citing works
Self-citationGiakoustidis, A. E., Moschonas, S., Christodoulidis, G., Chourmouzi, D., Diamantidou, A., Masoura, S., Louri, E., Papadopoulos, V. N., & Giakoustidis, D. E. (2023) · World Journal of Gastrointestinal Surgery · doi:10.4240/wjgs.v15.i6.1048 · Cited by 10 · see citing works
Blauw, J. T. M., Metz, F. M., Brusse-Keizer, M. G. J., Rijnja, P., Bruno, M. J., & Geelkerken, R. H. (2022) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2022.07.043 · Cited by 8 · see citing works
Self-citationDeCicco, J. P., Raja, F., Ganesan, S., Kim, C., & El-Hayek, K. M. (2024) · Journal of Pediatric Surgery · doi:10.1016/j.jpedsurg.2024.08.004 · Cited by 8 · see citing works
Median Arcuate Ligament Syndrome: From Diagnosis to Multidisciplinary Management—A Narrative Review
Skórka, P., Szulc, J., Szewczyk, K., Szafirowski, A., Gutowski, P., Wojtuń, M., & Rynio, P. (2025) · Journal of Vascular Diseases · doi:10.3390/jvd4010011 · Cited by 7 · see citing works
Median arcuate ligament release at the time of pancreaticoduodenectomy or total pancreatectomy
Ward, E. P., Vincent-Sheldon, S., Tolat, P. P., Kulkarni, N., Aldakkak, M., Budithi, R., Clarke, C. N., Tsai, S., Evans, D. B., & Christians, K. K. (2024) · Surgery · doi:10.1016/j.surg.2024.01.016 · Cited by 6 · see citing works
Median arcuate ligament syndrome: challenges, comorbidities, and controversies
Mostamand, S. (2025) · Current Opinion in Pediatrics · doi:10.1097/mop.0000000000001503 · Cited by 3 · see citing works
Fay, K. A., Stableford, J. A., Columbo, J. A., Stone, D. H., & Finley, D. J. (2025) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2025.09.033 · Cited by 3 · see citing works
Prevalence and outcomes of select rare vascular conditions in females: A descriptive review
Sorber, R. A., Bowen, C. J., Radomski, S. N., & Shalhub, S. (2023) · Seminars in Vascular Surgery · doi:10.1053/j.semvascsurg.2023.10.003 · Cited by 3 · see citing works
Kubota, K., Shimizu, A., Notake, T., Nakamura, S., & Soejima, Y. (2024) · Annals of Gastroenterological Surgery · doi:10.1002/ags3.12858 · Cited by 3 · see citing works
Koops, E., Harmankaya, D., Brusse-Keizer, M. G. J., Bruno, M. J., van Noord, D., Kolkman, J. J., Geelkerken, R. H., & Metz, F. M. (2025) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2025.10.058 · Cited by 3 · see citing works
Self-citationAlsabbagh, Y., Erben, Y., Lanka, S. P., Jlilati, A., Sarmiento, J., Harold, K. L., Jacobs, C., Elli, E. F., Bowers, S. P., & Farres, H. (2025) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2025.12.004 · Cited by 2 · see citing works
Management of median arcuate ligament syndrome: a case-based review
Cunha, R., Silva, M., Henrique, A., Maximiano, P., Correia, M., Vieira, I., Cássio, I., Oliveira, N. F. G., & Dias, E. (2023) · Journal of Surgical Case Reports · doi:10.1093/jscr/rjad424 · Cited by 2 · see citing works
Zbinden, S., Forgó, G., Kucher, N., & Barco, S. (2024) · Clinics and Practice · doi:10.3390/clinpract14050151 · Cited by 2 · see citing works
Endo, Y., Inuzuka, K., Sano, M., Katahashi, K., Tsuyuki, H., Ishikawa, N., Takeuchi, H., & Unno, N. (2025) · Surgery Today · doi:10.1007/s00595-025-03074-2 · Cited by 1 · see citing works
Laparoscopic Approach to Median Arcuate Ligament Syndrome: A Single-Center Experience
Pažūsis, M., Ramanauskaite, I., Maleckienė, L., Drobužaitė, E., Velička, L., Maleckas, A., & Kiudelis, M. (2026) · Medicina · doi:10.3390/medicina62020356 · Cited by 1 · see citing works
Bruessel, P., Govender, M., & Frahm‐Jensen, G. (2026) · Vascular Health and Risk Management · doi:10.2147/vhrm.s592420 · Cited by 1 · see citing works
Boaz, E., Aeschbacher, P., Okida, L. F., Kahana, N., Strzempek, P., Matamoros, E., Weiss, B. P., Kroh, M., Menzo, E. L., Szomstein, S., et al. (2026) · Surgery · doi:10.1016/j.surg.2026.110182 · Cited by 1 · see citing works
Doulamis, I. P., & Nassiri, N. (2026) · JVS-Vascular Insights · doi:10.1016/j.jvsvi.2026.100441 · Cited by 1 · see citing works
Yamaguchi, S., Nakano, R., Honmyo, N., Sakai, H., Kuroda, S., Tahara, H., Ohira, M., Ide, K., Chosa, K., Awai, K., et al. (2025) · Cureus · doi:10.7759/cureus.87713 · Cited by 1 · see citing works
Blauw, J. T. M. (2021) · doi:10.3990/1.9789036553278
Self-citationLaparoscopic Treatment of a Symptomatic Young Woman With Median Arcuate Ligament Syndrome
Nitsa, Z., Kanavidis, P., Hasemaki, N., Katsargyris, Α., & Charalabopoulos, A. (2024) · Cureus · doi:10.7759/cureus.61989
Vaskuläre Kompressionssyndrome
Henke, T., Tsilimparis, N., & Czihal, M. (2024) · Springer Reference Medizin · doi:10.1007/978-3-662-61379-5_81-1
Laparoscopic Median Arcuate Ligament Release: Technical Aspects for a Safe and Effective Procedure
Belluzzi, A., Mosleh, K. A., & Ghanem, O. M. (2025) · Springer eBooks · doi:10.1007/978-3-031-80740-4_11
Long-Term Outcomes After Surgery Including Recurrent Median Arcuate Ligament Syndrome
DeCicco, J. P., & El-Hayek, K. M. (2025) · Springer eBooks · doi:10.1007/978-3-031-80740-4_17
Median Arcuate Ligament Syndrome in the Pediatric Population
Sutyak, K. M., Absah, I., & Zarroug, A. E. (2025) · Springer eBooks · doi:10.1007/978-3-031-80740-4_15
Hussen, M. D., Tabassum, Z., Jenny, A. A., Naharin, K., & khanam, F. (2025) · Radiology Case Reports · doi:10.1016/j.radcr.2025.03.021
СELIAC TRUNK COMPRESSION SYNDROME IN CLINICAL PRACTICE
Batrashov, V. A., Dzhalaev, F. S., Yudaev, S. S., Khamroev, S. S., & Сергеев, О. Г. (2025) · Bulletin of Pirogov National Medical & Surgical Center · doi:10.25881/20728255_2025_20_3_105
Median Arcuate Ligament Syndrome as a Rare Cause of Ischemic Duodenal Ulcers: A Case Report
Sebrechts, R., Müller, S., Lauwers, P., Potums, L., & Hendriks, J. M. (2025) · Cureus · doi:10.7759/cureus.92370
Bahadır, K., Ünal, D. S., Ural, S., Sacın, Y. E., Keven, A., Karagüzel, G., & Mescı, A. (2025) · Revista da Associação Médica Brasileira · doi:10.1590/1806-9282.20250082
West, C. A., Vieira, E. J., Crawford, J. L., Ewing, C. W., Deitch, J. S., & Oskin, T. C. (2025) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2025.09.048
Chronic Exertional Abdominal Pain in a Division 1 Collegiate Track Athlete
Blachowicz, K. R., Jordan, C. C., & Simons, S. M. (2025) · Current Sports Medicine Reports · doi:10.1249/jsr.0000000000001296
Soleimani, S., Bonthu, S., Crawford, J. L., & West, C. A. (2025) · Journal of Vascular Surgery Cases and Innovative Techniques · doi:10.1016/j.jvscit.2025.102068
The Most Accurate Lead to Surgery for Median Arcuate Ligament Syndrome Still Needs to Be Found
Koelemay, M. J. W. (2025) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2025.11.048
REOPERATIVE MANAGEMENT OF CELIAC TRUNK COMPRESSION SYNDROME IN A YOUNG ADULT PATIENT
Batrashov, V. A., Dzhalaev, F. S., Yudaev, S. S., Сергеев, О. Г., & Adilsultanov, E. B. (2025) · Bulletin of Pirogov National Medical & Surgical Center · doi:10.25881/20728255_2025_20_4_145
Vaskuläre Kompressionssyndrome
Henke, T., Tsilimparis, N., & Czihal, M. (2025) · Springer Reference Medizin · doi:10.1007/978-3-662-60880-7_81
Median Arcuate Ligament Compressing Multiple Arteries in a Young Man Treated by Surgical Release
Saikrishana, E., Selvakumar, B., Yadav, T., Soni, S. C., Varshney, P., Agarwal, L., Birda, C. L., & Rai, A. (2026) · Vascular and Endovascular Surgery · doi:10.1177/15385744261428768
Outcomes of pediatric median arcuate ligament release: A single-center experience
Halpern, A. I., Byrd, C. E., Kovler, M. L., Newman, T. J., Petrosyan, M., & Kane, T. D. (2026) · Journal of Pediatric Surgery · doi:10.1016/j.jpedsurg.2026.163164
Median Arcuate Ligament Syndrome: A Disease of Mind, Body, or Both?
Sure, S. S., Narayanan, C. D., Lakshmidharan, M., & Raju, R. (2026) · Cureus · doi:10.7759/cureus.110779
Bouabida, K., & Okang, M. (2026) · Frontiers in Pediatrics · doi:10.3389/fped.2026.1844256
Current Evidence on the Treatment of Median Arcuate Ligament Syndrome: A Comprehensive Review
Gotti, K.-K. E., Velikoudi, M. D., Kourgiali, C. G., & Chatzelas, D. A. (2026) · Cureus · doi:10.7759/cureus.113409
Wagle, P., Bastola, B., Shrestha, S., Barnawal, R., & Jayshwal, R. (2026) · Annals of Medicine and Surgery · doi:10.1097/ms9.0000000000005433
Robotic median arcuate ligament release in a pediatric surgery center
Niemiec, S. M., & Garcia, A. V. (2026) · Pediatric Surgery International · doi:10.1007/s00383-026-06609-x
Shung, A., Rose, S. J., & Hsu, R. C. (2026) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2026.10.023
- Authors
- Metz, F. M., Blauw, J. T. M., Brusse-Keizer, M., Kolkman, J. J., Bruno, M. J., & Geelkerken, R. H.
- Affiliations
- Medisch Spectrum Twente (NL)
- Erasmus MC (NL)
- Corresponding author
- Metz, Flores M.
- ORCID
- Venue
- European Journal of Vascular and Endovascular Surgery
- Publisher
- Elsevier BV
- Published
- 2022-12
- Volume
- 64
- Issue
- 6
- Pages
- 720-732
- ISSN
- 1078-5884 (ISSN-L)
- OpenAlex
- W4294723979
- Cited by
- 44
- References
- 60
- Citations by year
- 2026: 12 · 2025: 21 · 2024: 6 · 2023: 3 · 2022: 1 · 2021: 1
- FWCI
- 1.84
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Journal of Vascular and Endovascular Surgery (publishedVersion, cc-by)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, cc-by)
- University of Twente Research Information (publishedVersion, cc-by)
- University of Twente Research Information (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
- Health Sciences › Medicine › Surgery › Gastrointestinal disorders and treatments
- Keywords
- median arcuate ligament syndrome, celiac plexus block, symptom relief, quality of life, pediatric patients, risk of bias, treatment efficacy
- MeSH terms
- Median Arcuate Ligament Syndrome, Adult, Celiac Artery, Child, Constriction, Pathologic, Humans, Quality of Life, Decompression, Surgical
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
