Skip to main content
Erschienen in: Surgical and Radiologic Anatomy 7/2007

01.10.2007 | Medical Imaging

Measurement of the distance and angle between the aorta and superior mesenteric artery: normal values in different BMI categories

verfasst von: Huseyin Ozkurt, Merve Meltem Cenker, Nagihan Bas, Sukru Mehmet Erturk, Muzaffer Basak

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 7/2007

Einloggen, um Zugang zu erhalten

Abstract

Aim

The purpose of the study was to reveal the values of the distance and angle between the superior mesenteric artery (SMA) and aorta according to body mass index in normal population.

Material and methods

The study was performed on 524 routine abdominal CT examinations. On axial and reformatted sagittal–oblique sagittal images, the distance and the angle between superior mesenteric artery (SMA) and aorta were measured at the location where the duodenum crosses. Body mass index (BMI, Kg/m²) was calculated. The cases were divided into four groups according to the BMI categories (Group 1: BMI<18.5, Group 2: BMI 18.5–24.9, Group 3: BMI 25–29.9, Group 4: BMI>30) in both genders. For each gender group, mean values of distance and angle measurements were calculated with standard deviations and 95% confidence intervals. For each gender group, Pearson correlation coefficients were calculated between the distance and BMI, as well as between the angle and BMI. Spearman correlation coefficients were calculated between the distance and BMI category, as well as between the angle and BMI category.

Results

For both genders, there was a moderate and significant positive correlation between the distance and BMI. The correlation between the angle and BMI was low, but significant and positive (P < 0.001). The correlations between the BMI category and aortomesenteric distance or angle were moderate and significantly positive, as well (P < 0.001).

Conclusion

The aortomesenteric angle and distance significantly correlate with BMI in normal population. The mean values, we report, may be used as normal values to help reach the diagnosis of superior mesenteric artery syndrome.
Literatur
1.
Zurück zum Zitat Agrawal GA, Johnson PT, Fishman EK (2007) Multidetector row CT of superior mesenteric artery syndrome. J Clin Gastroenterol 41:62–65PubMedCrossRef Agrawal GA, Johnson PT, Fishman EK (2007) Multidetector row CT of superior mesenteric artery syndrome. J Clin Gastroenterol 41:62–65PubMedCrossRef
2.
Zurück zum Zitat Altman DH, Puranik SR (1973) Superior mesenteric artery syndrome in children. Am J Roentgenol Radium Ther Nucl Med 118(1):104–108PubMed Altman DH, Puranik SR (1973) Superior mesenteric artery syndrome in children. Am J Roentgenol Radium Ther Nucl Med 118(1):104–108PubMed
3.
Zurück zum Zitat Applegate GR, Cohen AJ (1988) Dynamic CT in superior mesenteric artery syndrome. J Comput Assist Tomogr 12(6):976–980PubMedCrossRef Applegate GR, Cohen AJ (1988) Dynamic CT in superior mesenteric artery syndrome. J Comput Assist Tomogr 12(6):976–980PubMedCrossRef
4.
Zurück zum Zitat Ahmed AR, Taylor I (1997) Superior mesenteric artery syndrome. Postgrad Med 73:776–778CrossRef Ahmed AR, Taylor I (1997) Superior mesenteric artery syndrome. Postgrad Med 73:776–778CrossRef
5.
Zurück zum Zitat Baltazar U, Dunn J, Floresguerra C et al (2000) Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction. South Med J 93(6):606–608PubMed Baltazar U, Dunn J, Floresguerra C et al (2000) Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction. South Med J 93(6):606–608PubMed
6.
Zurück zum Zitat Bedogni G, Pietrobelli A, Heymsfield SB et al (2001) Is body mass index a measure of adiposity in elderly women? Obes Res 9:17–20PubMedCrossRef Bedogni G, Pietrobelli A, Heymsfield SB et al (2001) Is body mass index a measure of adiposity in elderly women? Obes Res 9:17–20PubMedCrossRef
7.
Zurück zum Zitat Cohen LB, Field SP, Sachar DB (1985) The superior mesenteric artery syndrome: the disease that isn’t or is it? J Clin Gastroenterol 7:113–116PubMedCrossRef Cohen LB, Field SP, Sachar DB (1985) The superior mesenteric artery syndrome: the disease that isn’t or is it? J Clin Gastroenterol 7:113–116PubMedCrossRef
8.
Zurück zum Zitat Jani PG (2003) Superior mesenteric artery syndrome: case report. East Afr Med J 80(6):334–336PubMed Jani PG (2003) Superior mesenteric artery syndrome: case report. East Afr Med J 80(6):334–336PubMed
9.
Zurück zum Zitat Konen E, Amitai M, Apter S et al (1998) CT angiography of superior mesenteric artery syndrome. AJR Am J Roentgenol 171(5):1279–1281PubMed Konen E, Amitai M, Apter S et al (1998) CT angiography of superior mesenteric artery syndrome. AJR Am J Roentgenol 171(5):1279–1281PubMed
10.
Zurück zum Zitat Matheus CO, Waisberg J, Toledo Zewer MH et al (2005) Syndrome of duodenal compression by the superior mesenteric artery following restorative proctocolectomy. a case report and review of literature. Sao Paulo Med J 123(3):151–153CrossRef Matheus CO, Waisberg J, Toledo Zewer MH et al (2005) Syndrome of duodenal compression by the superior mesenteric artery following restorative proctocolectomy. a case report and review of literature. Sao Paulo Med J 123(3):151–153CrossRef
11.
Zurück zum Zitat Neri S, Signorelli SS, Mondati E et al (2005) Ultrasound imaging in diagnosis of superior mesenteric artery syndrome. J Intern Med 257(4):346–351PubMedCrossRef Neri S, Signorelli SS, Mondati E et al (2005) Ultrasound imaging in diagnosis of superior mesenteric artery syndrome. J Intern Med 257(4):346–351PubMedCrossRef
12.
Zurück zum Zitat Payawal JH, Cohen AJ, Stamos MJ (2004) Superior mesenteric artery syndrome involving the duodenum and jejunum. Emerg Radiol 10(5):273–275PubMedCrossRef Payawal JH, Cohen AJ, Stamos MJ (2004) Superior mesenteric artery syndrome involving the duodenum and jejunum. Emerg Radiol 10(5):273–275PubMedCrossRef
13.
Zurück zum Zitat Roy A, Gisel JJ, Roy V et al (2005) Superior mesenteric artery (Wilkie’s) syndrome as a result of cardiac cachexia. J Gen Intern Med 20:C3–C4PubMedCrossRef Roy A, Gisel JJ, Roy V et al (2005) Superior mesenteric artery (Wilkie’s) syndrome as a result of cardiac cachexia. J Gen Intern Med 20:C3–C4PubMedCrossRef
14.
Zurück zum Zitat Santer R, Young C, Rossi T et al (1991) Computed tomography in superior mesenteric artery syndrome. Pediatr Radiol 21(2):154–155PubMedCrossRef Santer R, Young C, Rossi T et al (1991) Computed tomography in superior mesenteric artery syndrome. Pediatr Radiol 21(2):154–155PubMedCrossRef
15.
Zurück zum Zitat Tanaka S, Togashi K, Rankinen T et al (2002) Is adiposity at normal body weight relevant for cardiovascular disease risk? Int J Obes Relat Metab Disord 26(2):176–183PubMedCrossRef Tanaka S, Togashi K, Rankinen T et al (2002) Is adiposity at normal body weight relevant for cardiovascular disease risk? Int J Obes Relat Metab Disord 26(2):176–183PubMedCrossRef
16.
Zurück zum Zitat Unal B, Aktas A, Kemal G et al (2005) Superior mesenteric artery syndrome: CT and ultrasonography findings. Diagn Interv Radiol 11(2):90–95PubMed Unal B, Aktas A, Kemal G et al (2005) Superior mesenteric artery syndrome: CT and ultrasonography findings. Diagn Interv Radiol 11(2):90–95PubMed
17.
Zurück zum Zitat Welsch T, Buchler MW, Kienle P (2007) Recalling superior mesenteric artery syndrome. Dig Surg 24(3):149–156PubMedCrossRef Welsch T, Buchler MW, Kienle P (2007) Recalling superior mesenteric artery syndrome. Dig Surg 24(3):149–156PubMedCrossRef
18.
Zurück zum Zitat WHO (2000) Obesity: preventing and managing the global epidemic. Report of a WHO consultation, WHO technical report series 894, World Health Organization, Geneva WHO (2000) Obesity: preventing and managing the global epidemic. Report of a WHO consultation, WHO technical report series 894, World Health Organization, Geneva
19.
Zurück zum Zitat Zadegan F, Lenoir T, Drain O et al. (2007) Superior mesenteric artery syndrome following correction of spinal deformity: case report and review of the literature. Rev Chir Orthop 93(2):181–185PubMed Zadegan F, Lenoir T, Drain O et al. (2007) Superior mesenteric artery syndrome following correction of spinal deformity: case report and review of the literature. Rev Chir Orthop 93(2):181–185PubMed
20.
Zurück zum Zitat Zhu ZZ, Qiu Y (2005) Superior mesenteric artery syndrome following scoliosis surgery: its risk indicators and treatment strategy. World J Gastroenterol 11(21):3307–3310PubMed Zhu ZZ, Qiu Y (2005) Superior mesenteric artery syndrome following scoliosis surgery: its risk indicators and treatment strategy. World J Gastroenterol 11(21):3307–3310PubMed
Metadaten
Titel
Measurement of the distance and angle between the aorta and superior mesenteric artery: normal values in different BMI categories
verfasst von
Huseyin Ozkurt
Merve Meltem Cenker
Nagihan Bas
Sukru Mehmet Erturk
Muzaffer Basak
Publikationsdatum
01.10.2007
Verlag
Springer-Verlag
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 7/2007
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-007-0238-9

Weitere Artikel der Ausgabe 7/2007

Surgical and Radiologic Anatomy 7/2007 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.