The American Journal of Digestive Diseases

, Volume 23, Issue 7, pp 633–640 | Cite as

Celiac axis compression syndrome

A critical review
  • Lawrence J. Brandt
  • Scott J. Boley
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  1. 1.
    Harjola PT: A rare obstruction of the celiac artery. Ann Chir Gynaecol Fenn 52:547–550, 1963Google Scholar
  2. 2.
    Rob C: Diseases of the abdominal aorta. Manit Med Rev 45:552–557, 1965Google Scholar
  3. 3.
    Dunbar JD, Molnar W, Bemon F, Marable S: Compression of the celiac trunk and abdominal angina. Am J Roentgenol Radium Ther Nucl Med 45:731–744, 1965Google Scholar
  4. 4.
    Lipschu B: A composite study of the coeliac axis artery. Ann Surg 65:159–169, 1917Google Scholar
  5. 5.
    Adachi B: Das Arteriensystem der Japaner. Tokyo, Japan, Kenkyusha Press, 1928Google Scholar
  6. 6.
    George R: Topography of the unpaired visceral branches of the abdominal norta. J Anat 69:196–205, 1934–1935Google Scholar
  7. 7.
    Michels NA: Blood Supply and Anatomy of the Upper Abdominal Organs. Philadelphia, Lippincott, 1955, p 140Google Scholar
  8. 8.
    Cauldwell EW, Anson BJ: The visceral branches of the abdominal aorta: Topographical relationships. Am J Anat 73:27–57, 1943Google Scholar
  9. 9.
    Lindner HH, Kemprud E: A clinicoanatomical study of the arcuate ligament of the diaphragm. Arch Surg 103:600–605, 1971Google Scholar
  10. 10.
    Reuter SR: Accentuation of celiac compression by the median arcuate ligament of the diaphragm during deep expiration. Radiology 98:561–564, 1971Google Scholar
  11. 11.
    Reuter SR, Bernstein EF: The anatomic basis for respiratory variation in median arcuate ligament compression of the celiac artery. Surgery 73:381–385, 1973Google Scholar
  12. 12.
    Edwards AJ, Hamilton JD, Nichol WD, Taylor GW, Dawson AM: Experience with coelic axis compression syndrome. Br Med J 1:342–345, 1970Google Scholar
  13. 13.
    Marable SA, Molnar W, Beman FM: Abdominal pain secondary to celiac axis compression. Am J Surg 111:493–495, 1966Google Scholar
  14. 14.
    Stoney RJ, Wylie EJ: Recognition and surgical management of viseral ischemic syndrome. Ann Surg 164:714–722, 1966Google Scholar
  15. 15.
    Terpstra JL: Intestinal angina secondary to compression of the coeliac axis. Arch Chir Neerl 18:245–253, 1966Google Scholar
  16. 16.
    Snyder MA, Mahoney EB, Rob CG: Symptomatic celiac artery stenosis due to constriction by the neurofibrous tissue of the celiac ganglion. Surgery 61:372–376, 1967Google Scholar
  17. 17.
    Marable SA, Kaplan MF, Berman FM, Molnar W: Celiac compression syndrome. Am J Surg 115:97–102, 1968Google Scholar
  18. 18.
    Lord RSA, Stoney RJ, Wylie EJ: Coeliac axis compression. Lancet 795–798, 1968Google Scholar
  19. 19.
    Harjola PT, Lahtiharju A: Celiac axis syndrome. Abdominal angina caused by extrinsic compression of the celiac artery. Am J Surg 115:864–869, 1968Google Scholar
  20. 20.
    Deutsch V: Compression of the coeliac trunk and the angiographic evaluation of its hemodynamic significance. Clin Radiol 19:309–314, 1968Google Scholar
  21. 21.
    Taheri SA: Abdominal pain due to isolated narrowing of the celiac artery. Vasc Dis 5:90–95, 1968Google Scholar
  22. 22.
    Carey JP, Stemmer EA, Connolly JE: Median arcuate ligament syndrome. Experimental and clinical observations. Arch Surg 99:441–446, 1969Google Scholar
  23. 23.
    Rubush JL: Celiac axis compression syndrome. Rev Surg 27:215–216, 1970Google Scholar
  24. 24.
    Mulder DS, Rubush J, Lawrence MS, Ehrenhaft JL: Celiac axis compression syndrome. Can J Surg 14:122–126, 1971Google Scholar
  25. 25.
    Cornell SH: Severe stenosis of the celiac artery. Analysis of patients with and without symptoms. Radiology 99:311–316, 1971Google Scholar
  26. 26.
    Charette EP, Iyengar SRK, Lynn RB, Paloschi GB, West RO: Abdominal pain associated with celiac artery compression. Surg Gynecol Obstet 132:1009–1014, 1971Google Scholar
  27. 27.
    Bobbio A, Zanella E: Compression stenosis of the celiac axis (The aortic canal syndrome). Long term results of surgical decompression. Surg Italy 1:176–182, 1971Google Scholar
  28. 28.
    Stanley JC, Fry WJ: Median arcuate ligament syndrome. Arch Surg 103:252–258, 1971Google Scholar
  29. 29.
    Watt JK: Coeliac axis stenosis. Scot Med J 17:295–298, 1972Google Scholar
  30. 30.
    DiMarino V, Tournigand P, Adboute B, Mercier C: A propos des compressions extrinseques du tronc coeliaque. J Chir (Paris) 104:289–306, 1972Google Scholar
  31. 31.
    Van de Berg L, Lombard R, Dreze CH, Guffens JM, Delvigne J, Van de Berg A: Traitement chirugical des stenoses du tronc coeliac. Acta Chir Belg 71:334–351, 1972Google Scholar
  32. 32.
    Szilagyi DE, Rian RL, Elliot JP, Smith RF: The celiac artery compression syndrome: Does it exist? Surgery 6:849–863, 1972Google Scholar
  33. 33.
    Barakat M, Mohmoud J, Bentliff PS: Coeliac-axis compression syndrome. A report of 3 cases. Am J Dig Dis 17:373–377, 1972Google Scholar
  34. 34.
    Martinez NS, Khan AH: The ruthless symptom compfex of undiagnosed celiac artery compression. Angiology 23:198–204, 1972Google Scholar
  35. 35.
    Evans WE: Long-term evaluation of the celiac band syndrome. Surgery 76:867–871, 1974Google Scholar
  36. 36.
    Beger HG, Apitzsch D, Meves M: Die arteria coeliaca-kompression langenbecks. Arch Chir 341:253–269, 1976Google Scholar
  37. 37.
    Watson WC, Sadikali F: Celiac axis compression. Experience with 20 patients and a critical appraisal of the syndrome. Ann Intern Med 86:278–284, 1977Google Scholar
  38. 38.
    Mihas AA, Laws HL, Jander HP: Surgical treatment of the celiac axis compression syndrome. Am J Surg 133:688–691. 1977Google Scholar
  39. 39.
    Julius S, Stewart BH: Diagnostic significance of abdominal murmurs. N Engl J Med 276:1175–1178, 1967Google Scholar
  40. 40.
    Watson WC, Williams PB, Duffy G: Epigastric bruits in patients with and without celiac axis compression. A phonoarteriographic study. Ann Intern Med 79:211–215, 1973Google Scholar
  41. 41.
    Caplan SR, Foman J, LaPage J, Kaiser MH: Celiac steal syndrome resulting in malabsorption and protein-losingsenteropathy in a case of median arcuate ligament syndrome. Gastroenterology 58(6):1036, 1970Google Scholar
  42. 42.
    Cleator IGM, Macpherson AIS, Fraser GM: Celiac artery compression. J R Coll Surg Edinburgh 16:96–99, 1971Google Scholar
  43. 43.
    Von Meves M, Beger HG: Coeliaca-kompressions-syndrom. Fortschr Geb Roentgenstr Nuklearmed 118:451–454, 1973Google Scholar
  44. 44.
    Colapinto RF, McLoughlin MJ, Weisbrod GL: The routine lateral aortogram and the celiac compression syndrome. Radiology 103:557–563, 1972Google Scholar
  45. 45.
    Reuter SR, Olin T: Stenosis of the celiac artery. Radiology 85:617–627, 1965Google Scholar
  46. 46.
    Bron KM, Redman H: Splanchnic artery stenosis and occlusion. Incidence: Arteriographic and clinical manifestations. Radiology 92:323–328, 1969Google Scholar
  47. 47.
    Levin DC, Baltaxe Ha: High incidence of celiac axis narrowing in asymptomatic individuals. Am J Roentgenol Radium Ther Nucl Med 116:426–429, 1972Google Scholar
  48. 48.
    Meaney TF, Kistner RL: Intra-abdominal disease of obscure cause. Analysis of arteriograms of 185 patients. Arch Surg 94:811–816, 1967Google Scholar
  49. 49.
    Appleby LH: The celiac axis in the expansion of the operation for gastric carcinoma. Cancer 6:704, 1953Google Scholar
  50. 50.
    Koikkalainen K, Harjola PT, Laustela E, Teppo L: Functional and morphologic effects of coeliac axis compression on the affected organs. Ann Chir Gynaecol Fenn 57:239–243, 1968Google Scholar
  51. 51.
    Morris GC Jr, DeBakey ME: Abdominal angina—diagnosis and surgical treatment. JAMA 176:89–92, 1961Google Scholar
  52. 52.
    Stanley JC, Brink BE, Fry WJ: Experimental intestinal ischemia: Provocative absorption studies following gradual celiac and superior mesenteric artery occlusion. J Surg Res 14:133–138, 1973Google Scholar
  53. 53.
    DeBakey ME, Burch G, Ray T, Ochsner A: The borrowinglending hemodynamic phenomenon (hemometakinesia) and its therapeutic application to peripheral vascular disturbances. Ann Surg 126:850–865, 1947Google Scholar
  54. 54.
    Boley SJ, Schwartz SS, Williams LF Jr: Vascular Disorders of the Intestine. New York. Appleton Century Crofts, 1971, pp 329–331Google Scholar
  55. 55.
    Rob CC: Discussion of vascular disorders of the small bowel. Vascular Disorders of the Intestine. SJ Boley, SS Schwartz, LF Williams, (eds). New York, Appleton Century Crofts, 1971, p 575Google Scholar

Copyright information

© Digestive Disease Systems, Inc 1978

Authors and Affiliations

  • Lawrence J. Brandt
    • 1
  • Scott J. Boley
    • 1
  1. 1.Departments of Gastroenterology and SurgeryMontefiore Hospital and Medical Center—Albert Einstein Colleg of MedicineBronx

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