His meticulous attention to detail while providing clear, concise information is evident in his patient reviews and testimonials. This compression also affects the nerves of the celiac ganglion, a bundle of sensory nerves located in the same area.
Clinic notes, operative reports and telephone calls to the patients were used. He is 9 months post op and is thriving. Dr Hsu is an amazingly brilliant surgeon who diagnosed my son with Median Arcuate Ligament Syndrome after 12 years with no answers to why my son was in horrible pain.
If you have a celiac plexus block, you will be given an intravenous medication to relax you. Once the diagnosis of MALS is suspected, our protocol at the Cleveland Clinic includes a three-step process: A celiac plexus block is an injection of medication to help relieve pain in the abdomen. At this point, the only treatment for MALS is surgery.
Dr. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs. You will be examined by one of our minimally invasive surgery specialists in the Section of Surgical Endoscopy of the Digestive Disease and Surgery Institute.
General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques.
Policy, Cleveland Clinic is a non-profit academic medical center. We've created a national referral center for the diagnosis and treatment of MALS at Stamford Health. His team of caring professionals are top-notch.
In January 2017 I started a MALS Awareness Instagram to post simple drawings about MALS anatomy adding hashtags such as #nausea, #vomiting or #epigastricpain to put out a “cyber hand” to others that might be searching for answers. One patient had an attempted laparoscopic release, which was converted to open.
All rights reserved. I’m feeling pretty honored to start my new life on my grandmother’s birthday— She truly embodies everything it means to be strong and I would not have made it here without her.
Because of this, there is often a great deal of variation between surgeons and the procedures they perform. For questions, or to schedule an appointment with Dr. Hsu, contact The Vascular Experts office located in Danbury, CT at 860-661-1383.
Celiac plexus neurolysis was performed in 88% (30/34) of patients. OBJECTIVES: Median Arcuate Ligament syndrome (MALS) is considered an uncommon entity the very existence of which has been questioned. We sought to determine whether patients treated at our institution for MALS had relief of their symptoms both in the short term, after one year and what procedural and other factors may have contributed to these outcomes.METHODS: Patients treated for MALS with Median Arcuate Ligament Release (MALR) between 2011-2015 were retrospectively reviewed. He is affiliated with many hospitals including Danbury Hospital, St Vincent's Medical Center. The information disclosed on the NPI Registry and in the downloadable files are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. In a laparoscopic procedure, the median arcuate ligament is released, which removes pressure from the artery.
At The Vascular Experts, it is our goal to make the patient experience as convenient and stress-free as possible. We do not endorse non-Cleveland Clinic products or services. This is a true testament to Stamford Health's success rate with MALS treatment in both children and adults. Following MALR with concomitant celiac plexus neurolysis, relief of pain was achieved in most patients followed for more than one year. Jimenez JC, Harlander-Locke M, Dutson EP.
Inject pain medication, such as epinephrine, clonidine, or a steroid. Our treatment strategy identifies nerve inflammation as the main cause of pain. Advertising on our site helps support our mission. Please feel free to contact our office should you have any additional concerns regarding your travel at 844-482-7285. Our dedicated staff are prepared with information on various options for travel, accommodations and points of interest for any long-distance patients. Complete resection of the inflamed nerves has been shown to help reduce or completely eliminate the pain in over 90% of patients. A vascular surgeon in the Heart and Vascular Surgery Institute will also be available for consultation in more complex cases, if needed. So we decided to do this blog to share with family and friends but also for MALS PALS. Contact Richard C. Hsu, MD, PhD. MALS can only be treated with surgery, either open or laparoscopic.
Some describe MALS as a "pinched nerve" in the abdomen which can make digestion extremely painful and pain can even spread into the back. This offers temporary relief from the symptoms of MALS, and helps to confirm the diagnosis for the patient and the entire medical team. Contact Dr. Richard C Hsu by phone: (203) 739-7320 for verification, detailed information, or booking an appointment before going to. In an open procedure, the surgeon resects the median arcuate ligament and removes the celiac plexus nerves.
J Vasc Surg. Complementing his academic background, Dr. Hsu is known for the rapport he establishes with his patients and providers. The doctor may also order certain tests, including blood work and imaging tests, to help rule out more common causes of your symptoms, such as gastroesophageal reflux disease (GERD), gastritis, gastroparesis, or problems with your pancreas, liver, gallbladder, spleen, or intestines.
He does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
This approach is different from the traditional belief that gastric ischemia (injury to the small intestine from insufficient blood supply) due to celiac artery stenosis causes pain in patients with MALS. Call to find a physician or register for an event: Contact Us Careers Sarner Health & Fitness Institute. It is therefore crucial for the patient to research those who treat MALS to find an experienced doctor and treatment plan that is right for them.
For some people, a celiac plexus block can relieve pain for weeks. His areas of interest include open and endovascular management of complex arterial aneurysms, peripheral arterial occlusive disease, extracranial cerebrovascular disease, venous occlusive disease, and venous hypertension.
No - He does not own an unincorporated business by himself.
SIGNS AND SYMPTOMS Pain in MALS patients is located between the ribs and below the sternum.
Graduate Medical Education/Residency Programs, Subscribe to the Stamford Health Newsletter. What is a celiac plexus block? He attended the University of Southern California Keck School of Medicine, where he obtained his Master of Physician Assistant Practice, and he completed a Surgical residency at Norwalk Hospital through the Yale School of Medicine. Your location is... Change your location. Doctor of Medicine (MD or DM), or in Latin: Medicinae Doctor, meaning "Teacher of Medicine", is a terminal degree for physicians and surgeons.
NPI Enumeration Date: Friday, September 14, 2007, NPPES Last Update: Wednesday, June 30, 2010, Allopathic & Osteopathic Physicians / Surgery. Below, you will find further details on the various discounted rates, extended-stay options, local airports and other information that may be useful for planning your treatment with us.
We sent our information to Dena, who is very helpful and kind. Usually, a CT-scan of the abdomen can detect the structure of MALS. Epub 2015 Sep 10.
DIAGNOSIS Most doctors don’t know about it, so MALS is underdiagnosed. Dr Hsu is a fantastic surgeon!
29 of the 34 had extensive prior GI workup that was either unrevealing or unresponsive to medical management.
Vascular intervention or reconstruction was not required in 79% (27/34) patients.
After twelve years of debilitating pain from Mals, my son woke from a very tedious surgery without any Mals pain. If your doctor thinks you may have MALS, he or she will review your medical history and perform a physical examination.
Then, guided by an x-ray, the doctor will: The procedure usually takes less than 30 minutes, and you can go home the same day. Dr. Hsu is recognized as a leader in the management of median arcuate ligament syndrome (MALS). Dr. Richard C Hsu has been primarily specialized in Vascular Surgery for over 17 years of experience. Open MALR was performed in 97% (33/34) patients.
However, the celiac ganglion cannot be removed during a laparoscopic procedure, so if the nerves are inflamed and causing pain, they will continue to do so even after the pressure has been removed. Dr. Richard C Hsu also cooperates with other doctors and physicians in medical groups including Western Connecticut Medical Group, Inc. Dr. Richard C Hsu accepts Medicare-approved amount as payment in full. Your abdomen may feel warm, and you may begin to feel less abdominal pain. Dr. Richard C Hsu is a Vascular Surgery Specialist in Danbury, Connecticut. Many can return to their normal activities. The doctor will numb an area of skin on your back with a local anesthetic.
Our goal is to provide comprehensive care and lifelong relief of chronic pain in both children and adults.
Epub 2012 Nov 21. He served as the Medical Director of Endovascular Surgery at Danbury Hospital and Associate Director of the Danbury Surgery Residency. VASCULAR VS. NEUROLOGIC Because the median arcuate ligament is compressing both the celiac artery and the celiac ganglion nerves, there is debate as to whether the cause of pain is ischemic (caused by blood flow) or neurogenic (caused by the nerves). Call (203) 739-7320 to request Dr. Richard C Hsu the information (Medicare information, advice, payment, ...) or simply to book an appointment.
Policy, Get useful, helpful and relevant health + wellness information.
The only reason he has a diagnosis is because he sought medical advice outside the VA on his own with Dr. Richard Hsu, a MALS Specialist.
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