The Celiac Artery Syndrome—Again?

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Abstract
Salutary results of surgery for relief of symptoms associated with compression of the celiac artery were described. The number of patients relieved solely by decompression for 2 or more yr, was only 3 of 19 patients. This overall result fails to make the syndrome a bona fide entity and surgical treatment specific. There was no evidence that either the stomach or small gut function was impaired by isolated narrowing of the celiac artery; that the correlation of the rather vague symptoms and compression was statistically significant; that the good results of surgery were not in some part due to placebo effect. Unless data essential to establishing this clinical picture as a nosologic entity are collected, the surgical approach to all such patients should be very cautious.

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