pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2025_20_3_105pirogovestnik-369Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSПРОБЛЕМА СИНДРОМА КОМПРЕССИИ ЧРЕВНОГО СТВОЛА В КЛИНИЧЕСКОЙ ПРАКТИКЕСELIAC TRUNK COMPRESSION SYNDROME IN CLINICAL PRACTICEБатрашовВ. А.BatrashovV. A.

Москва

ДжалаевФ. Ш.DzhalaevF. Sh.

Москва

 Moscow 

furkatjon98@bk.ruЮдаевС. С.YudaevS. S.

Москва

 Moscow 

ХамроевС. Ш.KhamroevS. Sh.

Москва

 Moscow 

СергеевО. Г.SergeevO. G.

Москва

 Moscow 

ФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова»Russian FederationФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова»РоссияPirogov National Medical and Surgical CenterRussian Federation202529082025203105110Copyright © Батрашов В.А., Джалаев Ф.Ш., Юдаев С.С., Хамроев С.Ш., Сергеев О.Г., 20252025Батрашов В.А., Джалаев Ф.Ш., Юдаев С.С., Хамроев С.Ш., Сергеев О.Г.Batrashov V.A., Dzhalaev F.S., Yudaev S.S., Khamroev S.S., Sergeev O.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/369

Синдром компрессии чревного ствола (СКЧС), также известный как синдром срединной дугообразной связки, представляет собой редкое заболевание, обусловленное экстравазальной компрессией чревного ствола анатомическими структурами диафрагмы. Обобщены современные представления об этиологии, патофизиологии, клинических проявлениях, диагностических подходах и методах лечения СКЧС. Рассмотрены особенности анатомического вариабилизма, роль сосудистых и нейрогенных механизмов в формировании болевого синдрома, приведены сравнительные данные по эффективности различных хирургических доступов. Особое внимание уделено методам визуализации и клиническим результатам после декомпрессии чревного ствола. Подчеркнута необходимость индивидуального подхода к ведению пациентов и важность мультидисциплинарного взаимодействия.

Celiac artery compression syndrome (CACS), also known as median arcuate ligament syndrome (MALS), is a rare condition caused by extrinsic compression of the celiac trunk by diaphragmatic anatomical structures. This review consolidates current concepts regarding the etiology, pathophysiology, clinical manifestations, diagnostic approaches, and treatment strategies for CACS. The discussion includes anatomical variability, the roles of vascular and neurogenic mechanisms in the development of pain, and comparative data on the efficacy of various surgical approaches. Special attention is paid to imaging modalities and clinical outcomes following celiac trunk decompression. The review highlights the importance of an individualized patient management strategy and the need for multidisciplinary collaboration.

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The authors declare that there are no conflicts of interest present.