A Comparison of the Celiacomesenteric Trunk in the Caribbean with Global Prevalence Calculated by a Systematic Review
Background. Typically, the celiac trunk and superior mesenteric artery branch off separately from the anterior aspect of the abdominal aorta. The celiacomesenteric trunk (CMT) is a rare variant in which those arteries share a common origin. We sought to compare the prevalence of CMT in the Caribbean...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Radiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2022/1715631 |
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| author | Shamir O. Cawich Maurice Fortune Rahul Deshpande Michael Gardner Neil Pearce Peter Johnson Vijay Naraynsingh |
| author_facet | Shamir O. Cawich Maurice Fortune Rahul Deshpande Michael Gardner Neil Pearce Peter Johnson Vijay Naraynsingh |
| author_sort | Shamir O. Cawich |
| collection | DOAJ |
| description | Background. Typically, the celiac trunk and superior mesenteric artery branch off separately from the anterior aspect of the abdominal aorta. The celiacomesenteric trunk (CMT) is a rare variant in which those arteries share a common origin. We sought to compare the prevalence of CMT in the Caribbean with the global prevalence as calculated by a systematic review. Methods. In this study, we evaluated all consecutive patients who had multiphase contrast-enhanced CT scans at two major referral centres in the Caribbean from August 30, 2017, to September 1, 2019. In patients with a CMT, we recorded demographic and anatomic details. We then conducted a systematic literature search and retrieved raw data to calculate the global prevalence (number of individuals with a CMT divided by the sum total of study samples). We compared CMT prevalence in our sample with the global prevalence using Pearson’s chi-square and Fisher’s exact tests. Statistical significance was considered to be present when the P value was <0.05. Results. From 832 CTs, 665 scans met the inclusion criteria. There were 16 (2.41%) CMTs: 3 (0.45%) classic CMTs, 12 (1.8%) hepato-mesenteric trunks, and 1 (0.15%) hepato-spleno-mesenteric trunk. Forty-two studies reported on CMTs in a total of 74,320 persons. The global CMT prevalence was comparable (3.88%; P=0.054), but the incidence of hepato-mesenteric variants was significantly lower in our sample (1.8% vs. 3.24%; P=0.0352). Conclusion. There was no difference in the prevalence of a classic CMT in the Caribbean compared to the global prevalence. However, the hepato-mesenteric trunk (incomplete CMT variant) was significantly less prevalent in the Caribbean. Advances in Knowledge: Healthcare professionals performing hepatobiliary interventions must be aware of these differences in order to minimize morbidity during their interventions. |
| format | Article |
| id | doaj-art-e5ca6cc5a0ee4892b963aa9f92e0dbcc |
| institution | Kabale University |
| issn | 2090-195X |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Radiology Research and Practice |
| spelling | doaj-art-e5ca6cc5a0ee4892b963aa9f92e0dbcc2025-02-03T01:01:20ZengWileyRadiology Research and Practice2090-195X2022-01-01202210.1155/2022/1715631A Comparison of the Celiacomesenteric Trunk in the Caribbean with Global Prevalence Calculated by a Systematic ReviewShamir O. Cawich0Maurice Fortune1Rahul Deshpande2Michael Gardner3Neil Pearce4Peter Johnson5Vijay Naraynsingh6Port of Spain General HospitalQueen Elizabeth the Queen Mother Hospital in MaragateManchester Royal InfirmaryUniversity of the West IndiesSouthampton University Hospital NHS TrustUniversity of the West IndiesPort of Spain General HospitalBackground. Typically, the celiac trunk and superior mesenteric artery branch off separately from the anterior aspect of the abdominal aorta. The celiacomesenteric trunk (CMT) is a rare variant in which those arteries share a common origin. We sought to compare the prevalence of CMT in the Caribbean with the global prevalence as calculated by a systematic review. Methods. In this study, we evaluated all consecutive patients who had multiphase contrast-enhanced CT scans at two major referral centres in the Caribbean from August 30, 2017, to September 1, 2019. In patients with a CMT, we recorded demographic and anatomic details. We then conducted a systematic literature search and retrieved raw data to calculate the global prevalence (number of individuals with a CMT divided by the sum total of study samples). We compared CMT prevalence in our sample with the global prevalence using Pearson’s chi-square and Fisher’s exact tests. Statistical significance was considered to be present when the P value was <0.05. Results. From 832 CTs, 665 scans met the inclusion criteria. There were 16 (2.41%) CMTs: 3 (0.45%) classic CMTs, 12 (1.8%) hepato-mesenteric trunks, and 1 (0.15%) hepato-spleno-mesenteric trunk. Forty-two studies reported on CMTs in a total of 74,320 persons. The global CMT prevalence was comparable (3.88%; P=0.054), but the incidence of hepato-mesenteric variants was significantly lower in our sample (1.8% vs. 3.24%; P=0.0352). Conclusion. There was no difference in the prevalence of a classic CMT in the Caribbean compared to the global prevalence. However, the hepato-mesenteric trunk (incomplete CMT variant) was significantly less prevalent in the Caribbean. Advances in Knowledge: Healthcare professionals performing hepatobiliary interventions must be aware of these differences in order to minimize morbidity during their interventions.http://dx.doi.org/10.1155/2022/1715631 |
| spellingShingle | Shamir O. Cawich Maurice Fortune Rahul Deshpande Michael Gardner Neil Pearce Peter Johnson Vijay Naraynsingh A Comparison of the Celiacomesenteric Trunk in the Caribbean with Global Prevalence Calculated by a Systematic Review Radiology Research and Practice |
| title | A Comparison of the Celiacomesenteric Trunk in the Caribbean with Global Prevalence Calculated by a Systematic Review |
| title_full | A Comparison of the Celiacomesenteric Trunk in the Caribbean with Global Prevalence Calculated by a Systematic Review |
| title_fullStr | A Comparison of the Celiacomesenteric Trunk in the Caribbean with Global Prevalence Calculated by a Systematic Review |
| title_full_unstemmed | A Comparison of the Celiacomesenteric Trunk in the Caribbean with Global Prevalence Calculated by a Systematic Review |
| title_short | A Comparison of the Celiacomesenteric Trunk in the Caribbean with Global Prevalence Calculated by a Systematic Review |
| title_sort | comparison of the celiacomesenteric trunk in the caribbean with global prevalence calculated by a systematic review |
| url | http://dx.doi.org/10.1155/2022/1715631 |
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