#81 MD Danny Shouhed: All about MALS & SMAS: abdominal pain syndromes

Dr. Shouhed is a nationally renowned, board-certifiedminimally invasive weight loss surgeon with expertise in Robotic Bariatric, Gastrointestinal, and Complex General Surgery. He was born and raised in Los Angeles, California, and graduated summa cum laude from UCLA with adegree in Human Physiology.  Dr. Shouhed earned early recognition, a Phi Beta Kappa induction, and a near-perfect MCAT score, which secured him a placeat UCSD School of Medicine with the highest merit-based scholarship. Dr. Shouhed completed his general surgery residency training at Cedars Sinai (#2Hospital in the country), where he graduated as Administrative Chief Resident.  He completed his fellowship at Mount Sinai Hospital in New York, the first fellowship in the country, where he focused on minimally invasive bariatric, foregut and complex general surgery.

Dr. Shouhed is also Medical Director of the Bariatric Surgery and Metabolic Weight Loss Center, Providence Saint John’s Hospital.

 Our focus today is really about the vascularabdominal syndromes that we can see so prevalent in connective tissue disorders & complex conditions. Please get us started with a description of the anatomy of the abdomen, including the GI organs, but also the ligaments &connective tissue that holds these organs in place and the vasculature that feeds them oxygen & carries away metabolic wastes.

    Now, let’s get into the syndromes that we wantto focus on today & we’re going from the top down because that’s how they might be unlocked, meaning closest to the heart to the most distant to the heart and in the pelvis, that’s from chest to pelvis direction.

    a. MALS: median arcuate ligament syndrome

b. SMAS: superior mesenteric artery syndrome(duodenal comp) (meat?)

c. Nutcracker: renal vein compression

d. May Thurner: iliac vein compression

e. Pelvic congestion syndromes including pelvicvenous insufficiency, vaginal/ labial varices

For each we talk about:

a. Symptoms

b. Evaluation

c. Treatment: ancillary tx? Visceral manipulation?

What would a patient look for in a provider? Whois doing this care? How easy/ common are folks doing these treatments? Howoften can or do treatments go wrong?

We end with discussing: where is research going with this?

To find out more about our clinic (and request a call back): ⁠https://www.neurovedahealth.com/⁠

- Phone: 206-379-1213

- Email Reception@neurovedahealth.com