Adölesanlarda süperior mezenterik arter ve aorta arasında mesafe ve açı ölçümü ve vücut kitle indeksi ile ilişkisi
Abstract
Amaç: Bu çalışmanın amacı sağlıklı adölesanlarda süperior mezenterik arter ile abdominal aorta arasındaki açı ve uzaklık değerlerinin vücut kitle indeksine göre değişimini saptamaktır.
Gereç ve Yöntem: Bu retrospektif çalışmaya 121’i kız ve 125’i erkek olmak üzere toplam 246 adölesan olgu dahil edildi. Kontrastlı batın bilgisayarlı tomografide aksiyal ve sagittal reformat görüntüler üzerinde aorta-mezenterik açı ve mesafe ölçümleri yapıldı. Vücut kitle indeksi (kg/m²) hesaplandı.
Bulgular: Yaş ortalaması kızlarda ve erkeklerde sırasıyla 162.8 ve 163.8 ay olup aralarında farklılık saptanmadı. Ortalama vücut kitle indeksi değerleri kızlarda ve erkeklerde sırasıyla 17.8 ve 18.6 olup aralarında anlamlı değişiklik saptanmadı. Süperior mezenterik arter açısı, doudenal ve sol renal ven mesafesi değerleri sırasıyla kızlarda 41.1 derece, 11.2 mm, 8.2 mm ve erkeklerde 42.7 derece, 12.6 mm, 9.2 mm olup cinsiyete göre değişiklik saptanmadı. Her iki cinsiyette ve tüm olgularda vücut kitle indeksi ile süperiyor mezenterik arter açısı, doudenal ve sol renal ven mesafeleri pozitif korelasyon göstermekteydi.
Sonuç: Sağlıklı adölesan popülasyonunda aortamesenterik açı ve mesafe ölçümleri vücut kitle indeksi ile pozitif korelasyon göstermektedir. Ortaya çıkan değerler, süperior mezenterik arter ile ilgili sıkışma sendromlarının tanısında referans değerler olarak kullanılabilir.
References
- 1. Wilkie DP. Chronic duodenal ileus. Am J Med Sci 1927;173:643-9.
- 2. Ahmed K, Sampath R, Khan MS. Current trends in the diagnosis and management of renal nutcracker syndrome: a review. Eur J Vasc Endovasc Surg 2006;31:410-6.
- 3. Tüzün KH, Arslan C, Deşer SB, Ersoy E, Junusbekov Y. Nutcracker sendromu: olgu sunumu. Damar Cer Derg 2012;21:51-4.
- 4. Applegate GR, Cohen AJ. Dynamic CT in superior mesenteric artery syndrome. J Comput Assist Tomogr (1988;12(6):976–980.
- 5. Ahmed AR, Taylor I (1997) Superior mesenteric artery syndrome. Postgrad Med 73:776–778.
- 6. Bedogni G, Pietrobelli A, HeymsWeld SB et al (2001) Is body mass index a measure of adiposity in elderly women? Obes Res 9:17–20.
- 7. Arthurs OJ, Mehta U, Set PA. Nutcracker and SMA syndromes: What is the normal SMA angle in children? Eur J Radiol 2012;81:854-6.
- 8. Ahmed AR, Taylor I (1997) Superior mesenteric artery syndrome. Postgrad Med 73:776–778.
- 9. Baltazar U, Dunn J, Floresguerra C et al (2000) Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction. South Med J 93(6):606–608.
- 10. Payawal JH, Cohen AJ, Stamos MJ (2004) Superior mesenteric artery syndrome involving the duodenum and jejunum. Emerg Radiol 10(5):273–275.
- 11. Ozkurt H, Cenker MM, Bas N, Erturk SM, Basak M. Measurement of the distance and angle between the aorta and superior mesenteric artery: normal values in different BMI categories. Surg Radiol Anat 2007;29:595-9.
- 12. Bhagirath Desai A, Sandeep Shah D, Jagat Bhatt C, Umesh Vaishnav K, Salvi B. Measurement of the Distance and Angle Between the Aorta and Superior Mesenteric Artery on CT Scan: Values in Indian Population in Different BMI Categories. Indian J Surg 2015;77:614-7.
- 13. Cheon JE, Kim WS, Kim IO, et al. Nutcracker syndrome in children with gross haematuria: Doppler sonographic evaluation of the left renal vein. Pediatric Radiology 2006;36:682–6.
- 14. Kim SH, Cho SW, Kim HD, Chung JW, Park JH, Han MC. Nutcracker syndrome: diagnosis with Doppler US. Radiology 1996;198:93–7.
- 15. Zerin JM, Hernandez RJ, Sedman AB, Kelsch RC. Dilatation of the left renal vein on computed tomography in children: a normal variant. Pediatric Radiology 1991;21:267–9.
- 16. Imamura A, Nakamura M, Maekawa N, Matsuya F, Kanetake H, Saito Y. Usefulness of renal CT scan for analysis of nutcracker phenomenon. Nippon Hinyokika Gakkai Zasshi 1992;83:1861–5
Measurement of the distance and angle between the aorta and superior mesenteric artery and correlation to body-mass index in adolescents
Abstract
Purpose: The aim of this study was to identify the variations in the angle and distance values between the superior mesenteric artery and abdominal aorta with body mass index in healthy adolescents.
Materials and Methods: This retrospective study included a total of 246 adolescent cases; 121 girls and 125 boys. The aorta-mesenteric angle and distance measurements were completed on contrast abdominal computed tomography axial and reformatted sagittal images. Body mass index (kg/m²) was calculated.
Results: Mean age was 162.8 and 163.8 months for girls and boys, respectively, with no difference identified. Mean body mass index values for girls and boys were 17.8 and 18.6 respectively, with no significant difference identified. The superior mesenteric artery angle, duodenal and left renal vein distance values were 41.1 degrees, 11.2 mm, and 8.2 mm for girls and 42.7 degrees, 12.6 mm and 9.2 mm for boys with no variation identified according to gender. In both genders and in all cases there was a positive correlation between body mass index with superior mesenteric artery angle, duodenal and left renal vein distances.
Conclusion: In the healthy adolescent population, the aorta-mesenteric angle and distance measurements show positive correlation with body mass index. The values determined may be used as reference values for diagnosis of compression syndromes related to the mesenteric artery.
References
- 1. Wilkie DP. Chronic duodenal ileus. Am J Med Sci 1927;173:643-9.
- 2. Ahmed K, Sampath R, Khan MS. Current trends in the diagnosis and management of renal nutcracker syndrome: a review. Eur J Vasc Endovasc Surg 2006;31:410-6.
- 3. Tüzün KH, Arslan C, Deşer SB, Ersoy E, Junusbekov Y. Nutcracker sendromu: olgu sunumu. Damar Cer Derg 2012;21:51-4.
- 4. Applegate GR, Cohen AJ. Dynamic CT in superior mesenteric artery syndrome. J Comput Assist Tomogr (1988;12(6):976–980.
- 5. Ahmed AR, Taylor I (1997) Superior mesenteric artery syndrome. Postgrad Med 73:776–778.
- 6. Bedogni G, Pietrobelli A, HeymsWeld SB et al (2001) Is body mass index a measure of adiposity in elderly women? Obes Res 9:17–20.
- 7. Arthurs OJ, Mehta U, Set PA. Nutcracker and SMA syndromes: What is the normal SMA angle in children? Eur J Radiol 2012;81:854-6.
- 8. Ahmed AR, Taylor I (1997) Superior mesenteric artery syndrome. Postgrad Med 73:776–778.
- 9. Baltazar U, Dunn J, Floresguerra C et al (2000) Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction. South Med J 93(6):606–608.
- 10. Payawal JH, Cohen AJ, Stamos MJ (2004) Superior mesenteric artery syndrome involving the duodenum and jejunum. Emerg Radiol 10(5):273–275.
- 11. Ozkurt H, Cenker MM, Bas N, Erturk SM, Basak M. Measurement of the distance and angle between the aorta and superior mesenteric artery: normal values in different BMI categories. Surg Radiol Anat 2007;29:595-9.
- 12. Bhagirath Desai A, Sandeep Shah D, Jagat Bhatt C, Umesh Vaishnav K, Salvi B. Measurement of the Distance and Angle Between the Aorta and Superior Mesenteric Artery on CT Scan: Values in Indian Population in Different BMI Categories. Indian J Surg 2015;77:614-7.
- 13. Cheon JE, Kim WS, Kim IO, et al. Nutcracker syndrome in children with gross haematuria: Doppler sonographic evaluation of the left renal vein. Pediatric Radiology 2006;36:682–6.
- 14. Kim SH, Cho SW, Kim HD, Chung JW, Park JH, Han MC. Nutcracker syndrome: diagnosis with Doppler US. Radiology 1996;198:93–7.
- 15. Zerin JM, Hernandez RJ, Sedman AB, Kelsch RC. Dilatation of the left renal vein on computed tomography in children: a normal variant. Pediatric Radiology 1991;21:267–9.
- 16. Imamura A, Nakamura M, Maekawa N, Matsuya F, Kanetake H, Saito Y. Usefulness of renal CT scan for analysis of nutcracker phenomenon. Nippon Hinyokika Gakkai Zasshi 1992;83:1861–5
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research |
| Authors | |
| Publication Date | September 30, 2018 |
| Acceptance Date | December 8, 2017 |
| Published in Issue | Year 2018 Volume: 43 Issue: 3 |
Cited By
Superior mesenteric artery revisited using magnetic resonance angiography
Surgical and Radiologic Anatomy
https://doi.org/10.1007/s00276-024-03323-y
