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Gastroenterology Research and Practice
Volume 2012 (2012), Article ID 935721, 6 pages
http://dx.doi.org/10.1155/2012/935721
Clinical Study

Celiac Artery Compression Syndrome: An Experience in a Single Institution in Taiwan

1School of Medicine, China Medical University, Taichung 40402, Taiwan
2Division of Gastroenterology and Hepatology, Department of Internal Medicine, China Medical University Hospital, 2 Yude Road, North District, Taichung 40447, Taiwan
3Department of Radiology, China Medical University Hospital, Taichung 40447, Taiwan

Received 12 April 2012; Revised 29 July 2012; Accepted 29 July 2012

Academic Editor: Charles Melbern Wilcox

Copyright © 2012 Jen-Wei Chou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Celiac artery compression syndrome (CACS) or median arcuate ligament (MAL) syndrome is a rare vascular disease. The clinical manifestations of CACS include the triad of postprandial pain, vomiting, and weight loss. The pathogenesis of CACS is the external compression of celiac artery by the MAL or celiac ganglion. Moreover, some authors also reported the compression with different etiologies, such as neoplasms of pancreatic head, adjacent duodenal carcinoma, vascular aneurysms, aortic dissection, or sarcoidosis. In the literature, most cases of CACS were reported from Western countries. In contrast, this disease was seldom reported in Oriental countries or regions, including Taiwan. Superior mesenteric artery syndrome (SMAS) is also a rare disease characterized by compression of the third portion of the duodenum by the SMA. The clinical features of SMAS are postprandial pain, vomiting, and weight loss. To date, there are no guidelines to ensure the proper treatment of patients with CACS because of its low incidence. Thus, tailored therapy for patients with CACS remains a challenge as well as the prediction of clinical response and prognosis. The aim of our present study was to investigate the clinical features, the association with SMAS, treatments, and outcomes of patients with CACS in a single institution in Taiwan.