Effect of visceral fat tissue on superior mesenteric artery configuration: Is it superior to BMI?

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Author(s): Bahadir Ülger FE;Bahadir Ülger FE
  • Source:
    The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology [Turk J Gastroenterol] 2020 Jun; Vol. 31 (6), pp. 433-440.
  • Publication Type:
    Comparative Study; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Aves Country of Publication: Turkey NLM ID: 9515841 Publication Model: Print Cited Medium: Internet ISSN: 2148-5607 (Electronic) Linking ISSN: 13004948 NLM ISO Abbreviation: Turk J Gastroenterol Subsets: MEDLINE
    • Publication Information:
      Publication: 2014- : İstanbul,Turkey : Aves
      Original Publication: Ankara : Turkish Society of Gastroenterology, 1995-
    • Subject Terms:
      Body Composition* ; Body Mass Index*; Intra-Abdominal Fat/*diagnostic imaging ; Mesenteric Artery, Superior/*diagnostic imaging ; Tomography, X-Ray Computed/*statistics & numerical data; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Aorta/diagnostic imaging ; Female ; Humans ; Intra-Abdominal Fat/pathology ; Lordosis/diagnostic imaging ; Lordosis/pathology ; Lumbar Vertebrae/diagnostic imaging ; Male ; Mesenteric Artery, Superior/pathology ; Middle Aged ; Renal Nutcracker Syndrome/diagnosis ; Reproducibility of Results ; Retrospective Studies ; Superior Mesenteric Artery Syndrome/diagnosis ; Tomography, X-Ray Computed/methods ; Young Adult
    • Abstract:
      Background/aims: To determine the effect of visceral fat volume measured via computed tomography (CT) images of umbilical slices on superior mesenteric artery (SMA) configuration, as compared with body mass index (BMI). In addition, this study aims to determine the effect of lumbar lordosis angle (LLA) on SMA configuration.
      Materials and Methods: The study included 310 patients who underwent abdominal CT. On CT images, the aortomesenteric angle (AMA), the distance between SMA and aorta at three levels, and LLA were measured. Visceral fat volume was measured using three consecutive images obtained at the level of the umbilicus. The relationship among AMA, and distances measured between SMA and aorta, and visceral fat tissue volume were determined. The effect of LLA on AMA and distances measured between SMA and aorta was analyzed.
      Results: There was a significant positive correlation between visceral fat volume, and patient age, AMA, distances between SMA and aorta, LLA, and BMI (p<0.001). There were not any significant differences in AMA, distances between SMA and aorta, BMI, or visceral fat volume between the patients with an LLA of 20°-45° and those with an LLA >45° (p>0.05). There was a significant positive correlation between BMI, and AMA, distances between SMA and aorta (p<0.001). There was a significant positive correlation between visceral fat volume, and AMA, distances between SMA and aorta (p<0.001).
      Conclusion: Visceral fat tissue volume is more valuable than BMI for evaluating the SMA configuration.
    • References:
      Clin Endosc. 2013 Jul;46(4):410-3. (PMID: 23964342)
      Am J Orthop (Belle Mead NJ). 2017 Mar/Apr;46(2):E124-E130. (PMID: 28437498)
      Urol Cutaneous Rev. 1950 May;54(5):257-62. (PMID: 15443180)
      Surg Radiol Anat. 2007 Oct;29(7):595-9. (PMID: 17646894)
      J Formos Med Assoc. 1992 Mar;91(3):329-33. (PMID: 1354697)
      Abdom Imaging. 2012 Dec;37(6):1079-88. (PMID: 22327421)
      J Med Case Rep. 2018 Aug 6;12(1):214. (PMID: 30081961)
      Case Rep Surg. 2015;2015:649469. (PMID: 26448895)
      BMJ Case Rep. 2013 Mar 21;2013:. (PMID: 23524345)
      J Pediatr Gastroenterol Nutr. 2006 May;42(5):522-5. (PMID: 16707974)
      J Belge Radiol. 1972 Sep-Oct;55(5):507-11. (PMID: 4660828)
      Surg Radiol Anat. 2009 Aug;31(7):545-9. (PMID: 19280099)
      Indian J Surg. 2015 Dec;77(Suppl 2):614-7. (PMID: 26730074)
      Eur J Radiol. 2012 Aug;81(8):e854-61. (PMID: 22579528)
      Surg Res Pract. 2015;2015:628705. (PMID: 26347903)
      Biomed Res Int. 2017;2017:1746570. (PMID: 29376066)
      Pediatr Nephrol. 2005 May;20(5):609-13. (PMID: 15772835)
      Curr Opin Clin Nutr Metab Care. 2018 Sep;21(5):360-365. (PMID: 29916924)
      J Gastrointest Surg. 2012 Dec;16(12):2203-11. (PMID: 23076975)
      Radiographics. 2014 Jan-Feb;34(1):93-115. (PMID: 24428284)
      Australas Radiol. 2002 Jun;46(2):197-200. (PMID: 12060163)
      Br J Radiol. 2012 Jan;85(1009):1-10. (PMID: 21937614)
      Int Urol Nephrol. 2016 Apr;48(4):631-2. (PMID: 26589612)
      J Clin Gastroenterol. 2007 Jan;41(1):62-5. (PMID: 17198067)
      J Gastrointest Surg. 2019 May;23(5):997-1005. (PMID: 30291587)
      Dig Surg. 2007;24(3):149-56. (PMID: 17476104)
    • Publication Date:
      Date Created: 20200730 Date Completed: 20211013 Latest Revision: 20211013
    • Publication Date:
      20250114
    • Accession Number:
      PMC7433993
    • Accession Number:
      10.5152/tjg.2020.19477
    • Accession Number:
      32721914