Frequently Asked Questions about
Median Arcuate Ligament Syndrome


What is Median Arcuate Ligament Syndrome (MALS)?
  • This condition occurs when the median arcuate ligament becomes too tight and compresses the celiac artery. This compression restricts blood flow to the digestive system.

Who gets MALS?
  • MALS is seen in both males and females at various ages.

What are the signs and symptoms?
  • Individuals with MALS may experience abdominal pain, nausea, exhaustion (especially after a heavy meal) and inability to exercise.

Who can I call to discuss the possibility of MALS surgery?
  • If you would like to schedule a consultation with one of our surgeons, please contact us at. Our office will give you clear instructions on what to bring to your visit.

What will happen during the consultation?
  • Our team will utilize teachnology — Ultrasonography and Computed Tomography (CT) angiography —along with 3-D imaging to screen for MALS. These screening tests allow our experts to determine whether or not patients suffer from this painful syndrome.

What is MALS surgery like?
  • The surgery will be done laparoscopically. This basically means our surgeons will make 5-6 small incisions in the belly. Then, the team will use small cameras to navigate the median arcuate ligament. Many patients prefer this approach over the traditional open surgery approach, which requires a big incision down the belly.

How soon can I go home?
  • Patients stay in the hospital for approximately four days. Our team takes extra care to make sure patients can maintain a normal diet, walk and control pain with medicine. Once patients are able to do these, they can go home.

For more information on preoperative and postoperative details, please follow the drop down links above. You can also contact our office at your convenience.