Outcomes of surgical versus conservative treatment in pediatric median arcuate ligament syndrome
Mohamad Abi Nassif, Juan Gurria, Danny Mallon, Rashmi Sahay, Lev Dorfman, Emily Vore, Jennifer Hardy, Kaitlin Whaley, Alex Nasr, Neha R. Santucci · 2026
Read Outcomes of surgical versus conservative treatment in pediatric median arcuate ligament syndrome by Mohamad Abi Nassif, Juan Gurria, Danny Mallon, Rashmi Sahay, Lev Dorfman, Emily Vore, Jennifer Hardy, Kaitlin Whaley, Alex Nasr, Neha R. Santucci (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13539703.txt.
Description
Mohamad Abi Nassif and colleagues compare surgery against conservative care for children with a compressed belly artery syndrome in a 2026 chart review. The syndrome squeezes the celiac artery and causes gut symptoms. Among 34 patients aged 7 to 21 years, most had belly pain and nausea, over half also met criteria for gut-brain interaction disorders. Ten received drug and behavioral therapy while twenty-four had decompression surgery.
Long-term outcomes did not differ significantly between groups. About six in ten conservatively treated children improved, as did just over half the surgical group despite a strong early response after surgery when nearly nine in ten felt better or resolved. A notable share of surgical patients worsened long term. The authors call for prospective studies to guide patient selection.
Catalog record
| CREATOR | Mohamad Abi Nassif, Juan Gurria, Danny Mallon, Rashmi Sahay, Lev Dorfman, Emily Vore, Jennifer Hardy, Kaitlin Whaley, Alex Nasr, Neha R. Santucci |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 25271 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |