Management of Median Arcuate Ligament Compression in Patients Undergoing Pancreaticoduodenectomy: A Systematic Review and Consensus Statements.

ABSTRACT:

Background and aims

Division of the pancreatic arterial arcade during pancreaticoduodenectomy (PD) can precipitate visceral ischemia in patients with celiac artery stenosis (CAS). This study investigated optimal management of CAS for patients undergoing PD-particularly stenosis caused by median arcuate ligament (MAL) compression-through a systematic review and a nationwide survey.

Methods

Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we searched for studies indexed with the Medical Subject Headings terms celiac artery stenosis, median arcuate ligament syndrome, and pancreaticoduodenectomy. In parallel, a questionnaire on CAS management during PD was distributed to 67 major hepatobiliary and pancreatic surgery centers in Japan.

Re

SUBMITTER: Ideno N 

PROVIDER: S-EPMC12770918 | biostudies-literature | 2026 Jan-Dec

REPOSITORIES: biostudies-literature