In cases of ongoing post-prandial epigastric pain and sitophobia despite endoscopy work up and treatment perhaps we should remember to recall Dunbar Syndrome to our differential list.
 
Check out the paper mentioned
Li J, Tan XY, Megahed A, Evangelista A. Dunbar syndrome: An unusual cause of chronic postprandial abdominal pain. Radiol Case Rep. 2020 Aug 2;15(10):1747-1749. doi: 10.1016/j.radcr.2020.07.016. PMID: 32774573; PMCID: PMC7397697. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7397697/ 
Check out the Radiopedia page
Gaillard F, Moore C, Glick Y, et al. Celiac artery compression syndrome. Reference article, Radiopaedia.org (Accessed on 22 Feb 2024) https://doi.org/10.53347/rID-1143 
 
 
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This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

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