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Unknown abdominal pain

Chronic Pain | Last Active: Jul 8, 2022 | Replies (50)

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@amm97

I might be eating a smaller amount at meal times but still the same food. The duplex ultrasound sound narrowing of the celiac and sma. I’ve actually researched MALS quite a bit and I think this is still a possibility even though the CTA doesn’t show it. A vascular surgeon told me that the CTA doesn’t show it and that he doesn’t think it’s MALS. The surgeon said that the ultrasound isn’t reliable because it’s “operator dependent”. But the research I’ve done said that the duplex ultrasound may replace the CTA someday.

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Replies to "I might be eating a smaller amount at meal times but still the same food. The..."

@amm97 - Your research is correct! The duplex ultrasound has replaced CTA in many places.
At my last follow up at the university medical center where I had my MALS surgery, I was told they are changing to duplex ultrasound for my next follow up. This happened quite a while ago.
Maybe you could look for a university medical center that are skilled in evaluating MALS?

Hi! Hopefully your CT scan had pictures taken on inspiration and expiration, otherwise they would not be able to see the “hook” that causes mals. My doctor had me do the ct and duplex ultrasound for comparison. I hope you find answers.