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Late Results Following Operative Repair for Celiac Artery Compression Syndrome
Published in Juan Carlos Jimenez, Samuel Eric Wilson, 50 Landmark Papers Every Vascular and Endovascular Surgeon Should Know, 2020
Juan Carlos Jimenez, Samuel Eric Wilson
In the more recent minimally invasive era, we are using laparoscopic and robotic techniques to release the MAL. The well-described natural history of in-stent restenosis with bare metal mesenteric stents has limited their role at our institution where intra-luminal interventions are rarely performed in these patients. In our recent published series, we demonstrated overall early and intermediate clinical improvement rates using robotic and laparoscopic decompression of the MAL alone similar to Dr. Reilly's outcomes with open surgical reconstruction.6 Complete surgical dissection of the celiac ganglion is our primary focus with minimally invasive techniques and has led to excellent symptom relief postoperatively. One possible reason that surgical reconstruction resulted in better long-term outcomes in Dr. Reilly's paper is that a more complete celiac ganglionectomy and exposure of the artery is required for reconstruction or bypass.
Management of RSD
Published in Hooshang Hooshmand, Chronic Pain, 2018
The nerve block is done on accessible areas such as the stellate ganglion nerve block for head and upper extremities and lumbar sympathetic ganglion nerve block for lower extremities. Celiac ganglion nerve block is also done quite frequently for abdominal manifestations of RSD. The block is done for both diagnostic and therapeutic purposes.
Open surgical management of visceral artery occlusive disease
Published in Sachinder Singh Hans, Alexander D Shepard, Mitchell R Weaver, Paul G Bove, Graham W Long, Endovascular and Open Vascular Reconstruction, 2017
The median arcuate ligament and interdigitating fibers of the crura are divided longitudinally to expose the aorta, which lies just posteriorly. A sufficient length of the supraceliac aorta is dissected and isolated along the anterior two-thirds of its circumference so that a side-biting clamp can be accommodated. The celiac ganglion that surrounds the celiac axis at its origin is divided. Dissection is continued caudally to the proximal few centimeters of the celiac axis (CA) (Figure 50.1). The inferior phrenic artery may be found in about 50% of cases and should be controlled. The left gastric artery is divided to facilitate end-to-end anastomosis to the CA. When an end-to-side anastomosis is chosen, the common or proper hepatic artery is chosen.
Superior mesenteric ganglion via ovarian plexus nerve involved in the cross-talk between noradrenaline and GnRH in rat ovaries
Published in Systems Biology in Reproductive Medicine, 2023
María Belén Delsouc, Sandra Vallcaneras, Cristina Daneri Becerra, Fabián Heber Mohamed, Marina Fernández, Adriana Soledad Vega Orozco, Marilina Casais
It should be noted that noradrenergic stimulation of the ganglion increased ovarian GnRH levels only at 60 min. This effect of NA on GnRH was more significant and was maintained throughout the incubation period when the adrenergic drug was added directly to the incubation medium of the ovaries. Our results support those reported by Herbison (1997), who found an important role of NA in increasing the expression and secretion of the Gnrh mRNA necessary to drive follicle development. Therefore, we interpret that the tendency to normalization of GnRH levels in the ovary of the ex vivo system is due to the influence of this sympathetic pathway in an attempt to modulate the effects of noradrenergic stimulation in the gonad and, consequently, on cell death. Similarly, Bronzi et al. (2015) demonstrated the importance of the celiac ganglion-SON sympathetic pathway to regulate cell death in the rat ovary, which seems to prevail when GnRH levels increase above basal levels during the diestrus II stage.
Spinal cord involvement in Lewy body-related α-synucleinopathies
Published in The Journal of Spinal Cord Medicine, 2020
Raffaele Nardone, Yvonne Höller, Francesco Brigo, Viviana Versace, Luca Sebastianelli, Cristina Florea, Kerstin Schwenker, Stefan Golaszewski, Leopold Saltuari, Eugen Trinka
Fibers originating in the rostroventral nucleus of the medulla that traveling in the Th/IML provide the efferent innervation. Of great importance is also the capacitance of the splanchnic-mesenteric bed. This region is supplied by the splanchnic nerve with cell bodies at the thoracic level and synapses at the celiac ganglion.91 Orthostatic hypotension is a chief complaint in the pure autonomic failure, in LBD and in MSA. Some cases starting as isolated autonomic failure and subsequently developing PD or LBD features were described.71,92,93 Moreover, dysfunctions of cardiac sympathetic and parasympathetic neurons were observed in the initial stages of PD.93 Even is also the genesis of orthostatic hypotension is likely to be multifactorial, the pathology of the dorsal motor nucleus of the vagus may explain the early occurrence of orthostatic hypotension.
A review on the efficacy and safety of iodine-125 seed implantation in unresectable pancreatic cancers
Published in International Journal of Radiation Biology, 2020
Sheng-Nan Jia, Fu-Xing Wen, Ting-Ting Gong, Xin Li, Hui-Jie Wang, Ya-Min Sun, Ze-Cheng Yang
The employment of implantation of radioactive material in the pancreatic cancer dates back to 1934 as Handley described the effectiveness of implantation of a radium needle in increasing the life span of 7 pancreatic cancer patients (Handley 1934). D'Angio et al were the first scientists who reported the efficacy of 125I implantation in unresectable cancer of the pancreas. These scientists implanted 125I in 19 patients during the period of 1954–1964 and suggested that it is an effective treatment to relieve pain and increase the life span of patients with local unresectable pancreatic tumors (D'Angio et al. 1970). Hilaris and Rousiss employed radioactive 125I seed implantation for the treatment of pancreatic cancers in ninety-eight patients, with an average survival time of 7 months (Hilaris and Rousiss 1975). Later on, various other scientists also employed this seed implantation technique in pancreatic cancer patients. Wang et al showed that implantation of 125I around the celiac ganglia in 23 patients with unresectable pancreatic cancer led to significant reduction of pain after about two weeks of implantation with no significant complication (Wang et al. 2012). Liu et al described that percutaneous, CT-guided 125I seeds implantation led to complete (8/26) to partial (9/26) response with an overall response rate as 65.38%. The authors also reported that the local control rate was about 88.46% and the median survival was 15.3 months (Liu et al. 2015).