Median Arcuate Ligament Syndrome (MALS) Los Angeles, CA | Dr. Danny Shouhed
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- Опубликовано: 20 мар 2022
- Some people experience abdominal pain and other symptoms from a condition called median arcuate ligament syndrome (MALS). This condition involves compression of the celiac artery by the median arcuate ligament and there are a few different possible causes and treatments. Dr. Danny Shouhed is a highly experienced gastrointestinal surgeon who offers treatments for MALS at his practice in Los Angeles, CA.
In this informational video, you will learn more about median arcuate ligament syndrome (MALS), including the causes, pathology, symptoms and treatment options. Dr. Danny Shouhed narrates the video while you see illustrations of the basic outline of the anatomy of patients with MALS. You will learn that MALS is also known as Dunbar syndrome and celiac artery compression, and it can cause gastrointestinal symptoms, pain and exercise intolerance. The condition can be congenital, developmental or an alteration to the stomach. You will more details about the pathology of MALS and how it is diagnosed. At the end of the video, Dr. Shouhed explains the surgical options for MALS or treatment for those who cannot undergo surgery to decompress the celiac artery. He also provides a quick recap of the topics discussed in the video.
If you have been diagnosed with median ligament syndrome (MALS) or have symptoms of this disease, you should see a gastrointestinal specialist. Contact the office of Dr. Danny Shouhed in Los Angeles, CA to schedule a MALS consultation to discuss diagnosis and treatment options.
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436 N Bedford Drive, Suite 311
Beverly Hills, CA 90210
(310) 890-5834
2121 Santa Monica Blvd
Santa Monica, CA 90404
(310) 904-6647
www.drdannyshouhed.com/
This is a great video. Thanks for sharing.
I had this and Wilkie syndrome
I am the rare male that was born with this and required open double bypass emergency surgery. MALS is profoundly painful and finding a surgeon who knows how to do repairs is really difficult considering the rarity of MALS, not to mention it is fatal without the surgery, which still has a 1 in 3 death rate.
Hi I am so sorry for what you have been through but sounds like you were well taken care of, which I am glad to hear.
I do want to clarify though that MALS is not an emergency nor is it fatal without surgery. I don’t want patients to get the wrong idea. There also is not a 1 in 3 death rate, whether you are referring to patients who do or do not undergo surgery. MALS surgery is performed to improve one’s quality of life because of debilitating pain, not because of the risk of death without surgery. I have done over 100 MALS surgeries with no deaths so if you are in the right hands, surgery is safe. Thank you for commenting. 😊
I think i might have this im a 23 yr old male and i have like this wierd constant feeling in my sternum area what should i tell my doctor
Dr my vascular dr ordered yesterday vascular ultrasound of abdomen aorta is it test which can confirm smas and mals .please reply I donor have enough knowledge really need help from you because there are no enough dr here in Finland experience in mals and smas
I had MALS resection surgery 5 years ago. The MALigament and both bundles of nerve bundles removed. I am now suffering again with the exact same symptoms and the vascular surgeon says the celiac artery is too injured to stent and he said it will rupture and I would bleed to death if I had surgery. ( also an anurism of on the celiac artery is a 1.1 ).
Is my only option to go on living like this? Is there another option?
No it’s not.
No surgeon in Australia will touch this surgery and needs to be done by an expert and open surgery so can deal with the scar tissue and fibrosis to reduce further issues still. However i am finding it impossible to get help and meanwhile now can hardly eat and the nerve bundle irritation means stuck in flight or fight and compressed tightness now is 24/7 from chest to radiate down abdomen and into back. Feels like im stuck internally right aide body and nothing helps ease the pain. Spreading and more deep and visceral issues longer its left. My autonomic dysfunction is worse and blpod pooling in legs wtc etc. Vicious cycle
Sounds like MALS. Happy to help..please call the office.
Thank you for a comprehensive graphic explanation of this condition. My daughter who has Ehlers Danlos Syndrome is going to be investigated for MALS. An upper G.I. study has shown that she has superior mesenteric artery syndrome and nutcracker syndrome. She has an N-J tube for nutrition but still has a great deal of pain that pain medication really doesn't treat, and after a month with the tube still can't keep any food or liquid down if consumed by mouth. She also keeps vomiting up her N-J tube. Does MALS typically cause these other syndromes in an EDS patient? Or is possible they all occur concurrently? And is it possible to have surgery for all three at once?
My 32 year old who rolled on the floor as a toddler, vomited bile and was ridiculed by his peer just found out the cause. He has hEDS too. So happy and hope his upcoming surgery will help him.
I am diagnosed with MALS syndrome and SMA syndrome..
what are your symptoms, even my father suffer from abdominal pain, but he doesnot have pain while eating. doctors are suspecting as MAL
@@motorheadtraveler My wife had surgery for this 4 months ago. she had severe pain after eating. Lots of vomitting (she became malnourished and needed to rely on feeding tubes) She lost her hair and nails due to the malnutrition. After eating, it would be painful. Leaning forward would ease the pain slightly. She would have a year period of not being able to digest much, then about 2 years of being “normal” for the cycle to repeat until it grew too much. Fatigue, couldnt exercise.
Her breaths were about twice the size of mine (this is caused by a larger diaphram that will “pull” the median arcuate ligament down which crushes the artery. Hope you find answers soon!!
@@rhyserian5406 thank you for the reply. Appreciate brother.
@@rhyserian5406Is it all right now?
My son had surgery to release the ligament, but he still has abdominal pain with any oral intake. Now malnourished, wt 100, celiac plexus block was not effective. Very sad condition.
Is belching common with mals?
😂#me burp queen
Constant nausea before and after open MALS surgery (Europe). What is a reason?
Many possibilities, unfortunately. Nausea does not commonly improve as often as pain does with MALS surgery. Examples for reasons for nausea incidence: Gastroparesis, GERD, SMA syndrome, SIBO, etc..
@@dannyshouhedmd401 Thanky You for answers!
Basen on Your experience where would You start looking for the cause? Gastro- and colonoscopy without changes. Before surgery there were no abdominal pains, only big nausea, tachykardia and cold tremors. And only nausea left :(