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Median Arcuate Ligament Syndrome (MALS)

Digestive Health | Last Active: 1 hour ago | Replies (1157)
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@astaingegerdm

@jhmontrose - I had the surgery January 2015. All well until 6 months later when symptoms recurred. CT angio showed the celiac artery still had not returned to normal shape after the ligament was removed- it had compressed the artery. A vascular surgeon placed a stent that has worked so far. The next step would be open surgery to repair the artery. They removed the nerve bundles in the first surgery.
I had been told at the first surgery it was a 50-50 chance it would work. There are many patients that require more surgery. This is not a condition that is promised to go away, unfortunately.
The CT angio that you had done locally probably was not done the way the specialists require.

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Replies to "@jhmontrose - I had the surgery January 2015. All well until 6 months later when symptoms..."
jayson | @jayson | Feb 19, 2021

Hello. I've been on here before and was diagnosed with MALS and had laparoscopic that was converted to open in 2019. I was pain-free for a year and now started having the old symptoms return. Pain after eating, bloating, and nausea. So I decided to go back to my primary and he sent me to get a Doppler US which was difficult in seeing my celiac artery because of a large gas bubble. However, she did get my velocity clocked in at 261 which the doctor said that my the celiac artery was probable 70% blocked. So now I went to my surgeon Dr. Lowery on what I should do since I was still having pain. He said that it's possible that the artery could have closed up after surgery, or the scar tissue has built up and is causing the artery issues. So now I'm waiting to see a vascular surgeon to see what the next step is. Moreover, Dr. Lowery said the worst-case scenario would be opening me back up again and removing the scar tissue. Which he said it could be a very long surgery and a very risky one. So, has anyone, had the experience of this reoccur and what was the outcome? Thanks

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