Discontinuity of marginal artery at splenic flexure and rectosigmoid junction: A systematic review and meta-analysis.
Griffith's point
Sudeck's point
colon ischaemia
marginal artery
Journal
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
ISSN: 1463-1318
Titre abrégé: Colorectal Dis
Pays: England
ID NLM: 100883611
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
revised:
08
02
2023
received:
10
04
2022
accepted:
02
04
2023
medline:
24
7
2023
pubmed:
15
6
2023
entrez:
15
6
2023
Statut:
ppublish
Résumé
The aim of this study was to provide comprehensive evidence-based assessment of the discontinuity of the marginal artery at the splenic flexure (SF) and the rectosigmoid junction (RSJ). A systematic review was conducted of literature published to 26 December 2022 in the electronic databases PubMed, SCOPUS and Web of Science to identify studies eligible for inclusion. Data were extracted and pooled into a meta-analysis using the Metafor package in R. The primary outcomes were the pooled PPEs of the marginal artery at the SF and the RSJ. The secondary outcome was the size of vascular anastomoses. A total of 21 studies (n = 2,864 patients) were included. The marginal artery was present at the splenic flexure in 82% (95% CI: 62-95) of patients. Approximately 81% (95% CI: 63-94%) of patients had a large macroscopic anastomosis, while the remainder (19%) had small bridging ramifications forming the vessel. The marginal artery was present at the RSJ in 82% (95% CI: 70-91%) of patients. The marginal artery may be absent at the SF and the RSJ in up to 18% of individuals, which may confer a higher risk of ischaemic colitis. As a result of high interstudy heterogeneity noted in our analysis, further well-powered studies to clarify the prevalence of the marginal artery at the SF and the RSJ, as well as its relationship with other complementary colonic collaterals (intermediate and central mesenteric), are warranted.
Types de publication
Meta-Analysis
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1361-1370Informations de copyright
© 2023 Association of Coloproctology of Great Britain and Ireland.
Références
Amini A, Nagalli S. Bowel ischemia. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021. Cited December 18, 2021. Available from: http://www.ncbi.nlm.nih.gov/books/NBK554527/
Washington C, Carmichael JC. Management of Ischemic Colitis. Clin Colon Rectal Surg. 2012;25(4):228-35.
Sakai L, Keltner R, Kaminski D. Spontaneous and shock-associated ischemic colitis. Am J Surg. 1980;140(6):755-60.
West BR, Ray JE, Gathright JB. Comparison of transient ischemic colitis with that requiring surgical treatment. Surg Gynecol Obstet. 1980;151(3):366-8.
Mann M, Kawzowicz M, Komosa A, Sherer Y, Łazarz D, Loukas M, et al. The marginal artery of Drummond revisited: a systematic review. Transl Res Anat. 2021;24:100118.
Toh J, Matthews R, Kim SH. Arc of Riolan-preserving splenic flexure takedown during anterior resection: potentially critical to prevent acute anastomotic ischemia. Dis Colon Rectum. 2018;61:1-414.
Park H, Piozzi GN, Lee TH, Kim JS, Choi HB, Kim SH. Arc of Riolan-dominant colonic perfusion identified by indocyanine green after high ligation of inferior mesenteric artery: critical in preventing anastomotic ischemia. Dis Colon Rectum. 2021;64(4):e64.
Yamazaki T, Shirai Y, Sakai Y, Hatakeyama K. Ischemic stricture of the rectosigmoid colon caused by division of the superior rectal artery below sudeck's point during sigmoidectomy: report of a case. Surg Today. 1997;27(3):254-6.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.
Henry BM, Tomaszewski KA, Ramakrishnan PK, Roy J, Vikse J, Loukas M, et al. Development of the anatomical quality assessment (AQUA) tool for the quality assessment of anatomical studies included in meta-analyses and systematic reviews. Clin Anat. 2017;30(1):6-13.
Sinkeet S, Mwachaka P, Muthoka J, Saidi H. Branching pattern of inferior mesenteric artery in a black African population: a dissection study. ISRN Anat. 2012;2013:e962904.
Gangam RR, Sharon S. Surgical significance of inferior mesenteric artery and its branching pattern. Int J Anat Res. 2016;4(1):2062-68.
Karatay E, Javadov M. The importance of the Moskowitz artery as a lesser-known collateral pathway in the medial laparoscopic approach to splenic flexure mobilisation and its evaluation with preoperative computed tomography. Wideochirurgia Inne Tech Maloinwazyjne. 2021;16(2):305-11.
Kuzu MA, Güner MA, Kocaay AF, İsmail E, Arslan MN, Tekdemir İ, et al. Redefining the collateral system between the superior mesenteric artery and inferior mesenteric artery: a novel classification. Colorectal Dis. 2021;23(6):1317-25.
Zhang C, Li A, Luo T, Li Y, Li F, Li J. Evaluation of characteristics of left-sided colorectal perfusion in elderly patients by angiography. World J Gastroenterol. 2020;26(24):3484-94.
Jain P, Sharma D, Somashekar U, Kumar A. Importance of critical point of Sudeck in colorectal surgery: an anatomical study in cadaver. Surg Update Int J Surg Trauma Orthop. 2020;6(4):237-43.
Watanabe J, Ota M, Suwa Y, Suzuki S, Suwa H, Momiyama M, et al. Evaluation of the intestinal blood flow near the rectosigmoid junction using the indocyanine green fluorescence method in a colorectal cancer surgery. Int J Colorectal Dis. 2015;30(3):329-35.
Kawada K, Hasegawa S, Wada T, Takahashi R, Hisamori S, Hida K, et al. Evaluation of intestinal perfusion by ICG fluorescence imaging in laparoscopic colorectal surgery with DST anastomosis. Surg Endosc. 2017;31(3):1061-9.
Bertrand MM, Delmond L, Mazars R, Ripoche J, Macri F, Prudhomme M. Is low tie ligation truly reproducible in colorectal cancer surgery? Anatomical study of the inferior mesenteric artery division branches. Surg Radiol Anat SRA. 2014;36(10):1057-62.
Garcia-Granero A, Sánchez-Guillén L, Carreño O, Sancho Muriel J, Alvarez Sarrado E, Fletcher Sanfeliu D, et al. Importance of the Moskowitz artery in the laparoscopic medial approach to splenic flexure mobilization: a cadaveric study. Tech Coloproctol. 2017;21(7):567-72.
Lorenzini L, Bertelli L, Lorenzi M. Arterial supply in the left colonic flexure. Ann Ital Chir. 1999;70(5):691-8.
Predescu D, Popa B, Gheorghe M, Predescu I, Jinescu G, Boeriu M, et al. The vascularization pattern of the colon and surgical decision in esophageal reconstruction with colon. A Selective SMA and IMA Arteriographic Study. Chir Buchar. 2013;108(2):161-71.
Landen C, Dreu M, Weiglein A. The sigmoidea ima artery: a player in colonic ischemia? Clin Anat NYN. 2020;33(6):850-9.
Vandamme JP, Bonte J, van der Schueren G. Re-evaluation of the colic irrigation from the inferior mesenteric artery. Acta Anat (Basel). 1982;112(1):18-30.
Sierociński W. Arteries supplying the left colic flexure in man. Folia Morphol. 1975;34(2):117-24.
Meyers MA. Griffiths' point: critical anastomosis at the splenic flexure. Significance in ischemia of the colon. AJR Am J Roentgenol. 1976;126(1):77-94.
Michels NA, Siddharth P, Kornblith PL, Parke WW. The variant blood supply to the descending colon, rectosigmoid and rectum based on 400 dissections. Its importance in regional resections. Dis Colon Rectum. 1965;8(4):251-78.
Nelson TM, Pollak R, Jonasson O, Abcarian H. Anatomic variants of the celiac, superior mesenteric, and inferior mesenteric arteries and their clinical relevance. Clin Anat. 1988;1(2):75-91.
Ventemiglia R, Khalil KG, Frazier OH, Mountain CF. The role of preoperative mesenteric arteriography in colon interposition. J Thorac Cardiovasc Surg. 1977;74(1):98-104.
van Tonder JJ, Boon JM, Becker JHR, van Schoor AN. Anatomical considerations on Sudeck's critical point and its relevance to colorectal surgery. Clin Anat NYN. 2007;20(4):424-7.
Rodrigues CFS, Alves AM, Olave E, Gabrielli C. Anatomical considerations of the recto-SIGMOIDE arterial anastomosis. Rev Chil Anatomía. 2000;18(2):297-300.
Bhatia A, Shatanof RA, Bordoni B. Embryology, gastrointestinal. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Cited December 21, 2022. Available from: http://www.ncbi.nlm.nih.gov/books/NBK537172/
Geboes K, Geboes KP, Maleux G. Vascular anatomy of the gastrointestinal tract. Best Pract Res Clin Gastroenterol. 2001;15(1):1-14.
Bruzzi M, M'harzi L, El Batti S, Ghazaleh RA, Taieb J, Poghosyan T, et al. Inter-mesenteric connections between the superior and inferior mesenteric arteries for left colonic vascularization: implications for colorectal surgery. Surg Radiol Anat SRA. 2019;41(3):255-64.
Kachlik D, Baca V. Macroscopic and microscopic intermesenteric communications. Biomed Pap Med Fac Univ Palacky Olomouc Czechoslov. 2006;150(1):121-4.
Lange JF, Komen N, Akkerman G, Nout E, Horstmanshoff H, Schlesinger F, et al. Riolan's arch: confusing, misnomer, and obsolete. A literature survey of the connection(s) between the superior and inferior mesenteric arteries. Am J Surg. 2007;193(6):742-8.
Björnsson S, Resch T, Acosta S. Symptomatic mesenteric atherosclerotic disease-lessons learned from the diagnostic workup. J Gastrointest Surg off J Soc Surg Aliment Tract. 2013;17(5):973-80.
Zeller T, Rastan A, Sixt S. Chronic atherosclerotic mesenteric ischemia (CMI). Vasc Med Lond Engl. 2010;15(4):333-8.
Bourcier S, Oudjit A, Goudard G, Charpentier J, Leblanc S, Coriat R, et al. Diagnosis of non-occlusive acute mesenteric ischemia in the intensive care unit. Ann Intensive Care. 2016;6:112.
Han SY, Kwon YJ, Shin JH, Pyo HJ, Kim AR. Nonocclusive mesenteric ischemia in a patient on maintenance hemodialysis. Korean J Intern Med. 2000;15(1):81-4.
Higgins PDR, Davis KJ, Laine L. Systematic review: the epidemiology of ischaemic colitis. Aliment Pharmacol Ther. 2004;19(7):729-38.
Yadav S, Dave M, Edakkanambeth Varayil J, Harmsen WS, Tremaine WJ, Zinsmeister AR, et al. A population-based study of incidence, risk factors, clinical spectrum, and outcomes of ischemic colitis. Clin Gastroenterol Hepatol. 2015;13(4):731-738.e1-6. quiz e41.
Yngvadottir Y, Karlsdottir BR, Hreinsson JP, Ragnarsson G, Mitev RUM, Jonasson JG, et al. The incidence and outcome of ischemic colitis in a population-based setting. Scand J Gastroenterol. 2017;52(6-7):704-10.
Sato H, Koide Y, Shiota M, Endo T, Matsuoka S, Maeda K. Clinical characteristics of ischemic colitis after surgery for colorectal cancer. Surg Today. 2014;44(6):1090-6.
Park MG, Hur H, Min BS, Lee KY, Kim NK. Colonic ischemia following surgery for sigmoid colon and rectal cancer: a study of 10 cases and a review of the literature. Int J Colorectal Dis. 2012;27(5):671-5.
Tsujinaka S, Kawamura YJ, Tan KY, Mizokami K, Sasaki J, Maeda T, et al. Proximal bowel necrosis after high ligation of the inferior mesenteric artery in colorectal surgery. Scand J Surg. 2012;101(1):21-5.
Zeng J, Su G. High ligation of the inferior mesenteric artery during sigmoid colon and rectal cancer surgery increases the risk of anastomotic leakage: a meta-analysis. World J Surg Oncol. 2018;16(1):157.
Dworkin MJ, Allen-Mersh TG. Effect of inferior mesenteric artery ligation on blood flow in the marginal artery-dependent sigmoid colon. J Am Coll Surg. 1996;183(4):357-60.
Higashijima J, Kono T, Shimada M, Sugitani A, Kashihara H, Takasu C, et al. High ligation of the inferior mesenteric artery induces hypoperfusion of the sigmoid colon stump during anterior resection. Front Surg [Internet]. 2021;8:756873. https://doi.org/10.3389/fsurg.2021.756873
Komen N, Slieker J, de Kort P, de Wilt JHW, van der Harst E, Coene PP, et al. High tie versus low tie in rectal surgery: comparison of anastomotic perfusion. Int J Colorectal Dis. 2011;26(8):1075-8.
Fujii S, Ishibe A, Ota M, Watanabe K, Watanabe J, Kunisaki C, et al. Randomized clinical trial of high versus low inferior mesenteric artery ligation during anterior resection for rectal cancer. BJS Open. 2018;2(4):195-202.
Yang Y, Wang G, He J, Zhang J, Xi J, Wang F. High tie versus low tie of the inferior mesenteric artery in colorectal cancer: a meta-analysis. Int J Surg Lond Engl. 2018;52:20-4.