Abstract
The current accepted surgical treatment for median arcuate ligament syndrome (MALS) is by division or release of the MAL (MALR), but current treatment strategies are known to remain inconsistently effective with variable recurrence rates. Treatment algorithms typically rely on the demonstration of celiac artery compression before offering patients surgical intervention. We sought to decrease reliance on abnormal arterial imaging as inclusion criteria and to see whether ganglionectomy in patients without celiac compression would provide symptom relief.
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