Symptoms
- Cramping abdominal pain 20 to 60 minutes after eating
- Fear of eating, and marked unintentional weight loss
- Nausea, diarrhoea or bloating
- Sudden severe abdominal pain out of proportion to examination — an emergency
Treatment
Diagnosis uses duplex ultrasound and CT angiography. Most patients are treated by stenting the narrowed vessel; open bypass is used where stenting is unsuitable. Prof Sultan also performs coeliac sympathectomy for younger patients with median arcuate ligament syndrome.
