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In medicine, the median arcuate ligament syndrome (MALS, also known as celiac artery compression syndrome, celiac axis syndrome, celiac trunk compression syndrome or Dunbar syndrome) is a rare [1] condition characterized by abdominal pain attributed to compression of the celiac artery and the celiac ganglia by the median arcuate ligament. [2]
Esophageal webs are associated with bullous diseases (such as epidermolysis bullosa, pemphigus, and bullous pemphigoid), with graft versus host disease involving the esophagus, and with celiac disease. [5] Esophageal webs are more common in white individuals and in women (with a ratio of 2:1).
The celiac artery is the first major branch of the descending abdominal aorta, branching at a 90° angle. [1] [2] This occurs just below the crus of the diaphragm. [2] This is around the first lumbar vertebra. [3] There are three main divisions of the celiac artery, and each in turn has its own named branches:
Coeliac disease (British English) or celiac disease (American English) is a long-term autoimmune disorder, primarily affecting the small intestine, where individuals develop intolerance to gluten, present in foods such as wheat, rye, spelt and barley. [10]
Papillary stenosis is a disturbance of the sphincter of Oddi, a muscular valve, that prevents the opening and release of bile or pancreatic fluids into the duodenum in response to food entering the duodenum. Obstruction of the valve can cause: pancreatic pain; jaundice – bile leaking back into the blood stream. attacks of pancreatitis
The celiac plexus is often popularly referred to as the solar plexus. In the context of sparring or injury, a strike to the region of the stomach around the celiac plexus is commonly called a blow "to the solar plexus". In this case it is not the celiac plexus itself being referred to, but rather the region around it.
Breath tests have their own reliability problems with a high rate of false positive. Some doctors factor in a patients' response to treatment as part of the diagnosis. [4] Biopsies of the small bowel in bacterial overgrowth can mimic celiac disease, with partial villous atrophy. Breath tests have been developed to test for bacterial overgrowth.
Indications for repair differ slightly between arteries. For instance, current guidelines recommend repair of renal and splenic artery aneurysms greater than 3 cm, and those of any size in women of childbearing age; whereas celiac and hepatic artery aneurysms are indicated for repair when their size is greater than 2 cm.