1887
Volume 2025, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Diabetes is a major public health concern that affects millions of individuals worldwide, and given the increasing prevalence of this disease, there is a critical need to better understand its pathophysiology, which could lead to improved management strategies to mitigate its effects on society. The aim of this study was to investigate the vascular anatomy of the pancreas and classify the arterial variations of pancreatic blood flow, as well as to determine the correlation between these variations and the occurrence of diabetes and metabolic syndrome (MS).

This study used multidetector computed tomography (MDCT) angiography to assess the vascular anatomy of the pancreas in a total of 100 participants. The variations were classified based on the origin and course of the pancreatic arteries, and the imaging data were recorded and analyzed.

Results: The study identified three major types of arterial variations. The dorsal pancreatic artery (DPA) was observed to arise from the splenic artery (SPA), common hepatic artery (CHA), and superior mesenteric artery (SMA). The prevalence of arterial variations in the observed population (single-center study) in this research was found to be different from that reported in previous studies conducted on other populations. Specifically, the study found a higher incidence of DPA variations arising from the SPA (in 73% of the participants). The origin from the SMA was seen in 24% of patients and from the CHA in 3% of patients. The length, width, and other characteristics of the pancreatic arteries were also carefully documented. The study also found no significant correlation between arterial variations and the presence of diabetes mellitus or MS. One of the variations was found to display minor constriction but was not significant enough to be considered pathological.

The study revealed the utility of MDCT imaging as a reliable tool for studying pancreatic arterial blood flow. This study contributed to the existing body of knowledge about the vascular anatomy of the pancreas and provided valuable insights for future research in this area.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2025.48
2025-06-09
2025-07-17
Loading full text...

Full text loading...

/deliver/fulltext/qmj/2025/2/qmj.2025.48.html?itemId=/content/journals/10.5339/qmj.2025.48&mimeType=html&fmt=ahah

References

  1. Fahed G, Aoun L, Bou Zerdan M, Allam S, Allam S, Bou Zerdan M, et al.. Metabolic syndrome: updates on pathophysiology and management in 2021. Int J Molec Sci. 2022; 23:(2)786. https://doi.org/10.3390/ijms23020786
    [Google Scholar]
  2. Lovic D, Piperidou A, Zografou I, Grassos H, Pittaras A, Manolis A. The growing epidemic of diabetes mellitus. Curr Vasc Pharmacol. 2020; 18:(2)104–9. https://doi.org/10.2174/1570161117666190405165911
    [Google Scholar]
  3. El Mesmoudi N, Al Dhaheri AS, Feehan J, Stojanovska L, Ali HI. Validation of a quantitative web-based food frequency questionnaire to assess dietary intake in the adult Emirati population. PLoS One. 2022; 17:(1)e0262150. https://doi.org/10.1371/journal.pone.0262150
    [Google Scholar]
  4. Appanraj P, Mathew AP, Kandasamy D, Venugopal M. CT reporting of relevant vascular variations and its implication in pancreatoduodenectomy. Abdomin Radiol (New York). 2021; 46:(8)3935–45. https://doi.org/10.1007/s00261-021-02983-3
    [Google Scholar]
  5. Sulaiman N, Elbadawi S, Hussein A, Abusnana S, Madani A, Mairghani M, et al.. Prevalence of overweight and obesity in United Arab Emirates expatriates: the UAE national diabetes and lifestyle study. Diabetol Metabol Synd. 2017; 9:88. https://doi.org/10.1186/s13098-017-0287-0
    [Google Scholar]
  6. Mahmoud I, Sulaiman N. Prevalence of metabolic syndrome and associated risk factors in the United Arab Emirates: a cross-sectional population-based study. Front Publ Health. 2022; 9:811006. https://doi.org/10.3389/fpubh.2021.811006
    [Google Scholar]
  7. Mohamad MN. Glycemic index of foods, adiposity and metabolic syndrome risk in Emirati young adults. Abu Dhabi:United Arab Emirates University;2016.
    [Google Scholar]
  8. Jayaraj RL, Azimullah S, Beiram R. Diabetes as a risk factor for Alzheimer’s disease in the Middle East and its shared pathological mediators. Saudi J Biolog Sci. 2020; 27:(2)736–50. https://doi.org/10.1016/j.sjbs.2019.12.028
    [Google Scholar]
  9. Kumar KH, Garg S, Yadav TD, Sahni D, Singh H, Singh R. Anatomy of peripancreatic arteries and pancreaticoduodenal arterial arcades in the human pancreas: a cadaveric study. Surg Radiol Anatom. 2021; 43:(3)367–75. https://doi.org/10.1007/s00276-020-02632-2
    [Google Scholar]
  10. Okahara M, Mori H, Kiyosue H, Yamada Y, Sagara Y, Matsumoto S. supply to the pancreas; variations and cross-sectional anatomy. Abdominal Imaging. 2010; 35:(2)134–42. https://doi.org/10.1007/s00261-009-9581-0
    [Google Scholar]
  11. Tatsuoka T, Noie T, Noro T, Nakata M, Yamada H, Harihara Y, et al.. Dorsal pancreatic artery – a study of its detailed anatomy for safe pancreaticoduodenectomy. Ind J Surg. 2021; 83:144–9. https://doi.org/10.1007/s12262-020-02255-2
    [Google Scholar]
  12. Pham XD, Kim JJ, Parrish AB, Tom C, Ihenachor EJ, Mina D, et al.. Racial and gender differences in arterial anatomy of the arm. Am Surg. 2016; 82:(10)973–6.
    [Google Scholar]
  13. Carnethon MR, Bertoni AG, Shea S, Greenland P, Ni H, Jacobs DR Jr, et al.. Racial/ethnic differences in subclinical atherosclerosis among adults with diabetes: the multiethnic study of atherosclerosis. Diabet Care. 2005; 28:(11)2768–70. https://doi.org/10.2337/diacare.28.11.2768
    [Google Scholar]
  14. Koch S, Nelson D, Rundek T, Mandrekar J, Rabinstein A. Race-ethnic variation in carotid bifurcation geometry. J Stroke Cerebrovasc Dis. 2009; 18:(5)349–53. https://doi.org/10.1016/j.jstrokecerebrovasdis.2009.01.002
    [Google Scholar]
  15. Bertelli E, Di Gregorio F, Mosca S, Bastianini A. The arterial blood supply of the pancreas: a review. V. The dorsal pancreatic artery. An anatomic review and a radiologic study. Surg Radiol Anat. 1998; 20:(6)445–52.
    [Google Scholar]
  16. Ibukuro K. Vascular anatomy of the pancreas and clinical applications. Int J Gastrointest Canc. 2001; 30:(1-2)87–104. https://doi.org/10.1385/IJGC:30:1-2:087
    [Google Scholar]
  17. Ito K, Takemura N, Inagaki F, Mihara F, Kurokawa T, Kokudo N. Arterial blood supply to the pancreas from the accessory middle colic artery. Pancreatology. 2019; 19:(5)781–5. https://doi.org/10.1016/j.pan.2019.05.458
    [Google Scholar]
  18. Jiang CY, Liang Y, Chen YT, Dai ZS, Wang W. The anatomical features of the dorsal pancreatic artery in the pancreatic head and its clinical significance in laparoscopic pancreatoduodenectomy. Surg Endoscop. 2021; 35:(2)569–75. https://doi.org/10.1007/s00464-020-07417-7
    [Google Scholar]
  19. Memar SA, Taylor AM, Ahuja S, Daly DT, Tan Y. Rare left colic artery variation of the gut arterial system. Folia Morphol. 2023; 82:(1)198–204. https://doi.org/10.5603/FM.a2021.0130
    [Google Scholar]
  20. Rusu MC, Manta BA. Pentafurcated celiac trunk. Ann Vasc Surg. 2021; 70:567. https://doi.org/10.1016/j.avsg.2020.08.007
    [Google Scholar]
  21. Manta BA, Rusu MC, Jianu AM, Ilie AC. Hexafurcated celiac trunks, trifurcated common hepatic artery, and a new variant of the arc of Bühler. Folia Morphol. 2022; 81:(2)365–71. https://doi.org/10.5603/FM.a2021.0025
    [Google Scholar]
  22. Rousek M, Whitley A, Kachlík D, Balko J, Záruba P, Belbl M, et al.. The dorsal pancreatic artery: a meta-analysis with clinical correlations. Pancreatology. 2022; 22:(2)325–32. https://doi.org/10.1016/j.pan.2022.02.002
    [Google Scholar]
  23. Schurko MM, Lapovets LYe, Akimova VM, Bashta HV. Features of cellular immunity in patients with CHD complicated by metabolic syndrome. Bull Med Biol Res. 2022; 4:(2)53–6. https://doi.org/10.11603/bmbr.2706-6290.2022.2.13042
    [Google Scholar]
  24. Khan RMM, Chua ZJY, Tan JC, Yang Y, Liao Z, Zhao Y. From pre-diabetes to diabetes: diagnosis, treatments and translational research. Medicina (Kaunas). 2019; 55:(9)546. https://doi.org/10.3390/medicina55090546
    [Google Scholar]
/content/journals/10.5339/qmj.2025.48
Loading
/content/journals/10.5339/qmj.2025.48
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): arteriesendocrinologyMiddle EastPancreas and public health
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error