Anatomical Variants in Pancreatic Irrigation and Their Clinical Considerations for the Pancreatic Approach and Surrounding Structures: A Systematic Review with Meta-Analysis Article Swipe
Juan José Valenzuela‐Fuenzalida
,
Camila Ignacia Núñez-Castro
,
Valeria Belén Morán-Durán
,
Pablo Nova-Baeza
,
Mathias Orellana‐Donoso
,
Alejandra Suazo-Santibáñez
,
Álvaro Becerra
,
Gustavo Oyanedel-Amaro
,
Alejandro Bruna-Mejías
,
Guinevere Granite
,
Daniel Casanova‐Martínez
,
Juan A. Sanchis‐Gimeno
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/medicina61040666
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/medicina61040666
Background and Objectives: The pancreas receives blood through a complex network of multiple branches, primarily originating from the celiac trunk (CeT) and the superior mesenteric artery (SMA). This blood supply is structured into three main arterial groups, each serving different regions of the pancreas to effectively support its endocrine and exocrine functions. Materials and Methods: The databases Medline, Scopus, Web of Science, Google Scholar, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Latin American and the Caribbean Literature in Health Sciences (LILACS) were searched until January 2025. Methodological quality was evaluated using an assurance tool for anatomical studies (AQUA). Pooled prevalence was estimated using a random effects model. Results: A total of sixteen studies met the established selection criteria in this study for meta-analysis. Pancreatic irrigation variants presented a prevalence of 11.2% (CI: 7–14%) and a heterogeneity of 88.2%. The other studies were analyzed by subgroups, showing statistically significant differences in the following subgroups: (1) sample type—a larger sample of images analyzed in the included studies (p = 0.312), which did not show statistically significant differences; (2) geographical region (p = 0.041), which showed a greater presence in the Asian population studied, and this was statistically significant; and (3) sex (male or female) (p = 0.12), where there were no statistically significant differences. Conclusions: The discovery of variations in pancreatic irrigation is common due to the numerous blood vessels involved in supplying this vital organ. Understanding different vascular patterns (such as those from the splenic and mesenteric arteries) is crucial for surgical interventions on the pancreas. For transplant patients, a thorough vascular analysis of both the donor and recipient is essential. Variations can impact blood flow and compatibility, potentially leading to transplant rejection if not addressed. To enhance outcomes, it is recommended to develop more accurate imaging tools for pre-surgical analysis, necessitating ongoing research in this area.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3390/medicina61040666
- https://www.mdpi.com/1648-9144/61/4/666/pdf?version=1744011751
- OA Status
- gold
- Cited By
- 3
- References
- 55
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409331579
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4409331579Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/medicina61040666Digital Object Identifier
- Title
-
Anatomical Variants in Pancreatic Irrigation and Their Clinical Considerations for the Pancreatic Approach and Surrounding Structures: A Systematic Review with Meta-AnalysisWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-04-04Full publication date if available
- Authors
-
Juan José Valenzuela‐Fuenzalida, Camila Ignacia Núñez-Castro, Valeria Belén Morán-Durán, Pablo Nova-Baeza, Mathias Orellana‐Donoso, Alejandra Suazo-Santibáñez, Álvaro Becerra, Gustavo Oyanedel-Amaro, Alejandro Bruna-Mejías, Guinevere Granite, Daniel Casanova‐Martínez, Juan A. Sanchis‐GimenoList of authors in order
- Landing page
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https://doi.org/10.3390/medicina61040666Publisher landing page
- PDF URL
-
https://www.mdpi.com/1648-9144/61/4/666/pdf?version=1744011751Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/1648-9144/61/4/666/pdf?version=1744011751Direct OA link when available
- Concepts
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CINAHL, Meta-analysis, Pancreas, Medicine, MEDLINE, Population, Superior mesenteric artery, Trunk, Internal medicine, Demography, Biology, Environmental health, Biochemistry, Ecology, SociologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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3Total citation count in OpenAlex
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2025: 3Per-year citation counts (last 5 years)
- References (count)
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55Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(3) | 200 |
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| abstract_inverted_index.which | 171, 184 |
| abstract_inverted_index.(SMA). | 26 |
| abstract_inverted_index.0.12), | 207 |
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| abstract_inverted_index.0.312), | 170 |
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| abstract_inverted_index.Nursing | 67 |
| abstract_inverted_index.Scopus, | 58 |
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| abstract_inverted_index.studied, | 193 |
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| abstract_inverted_index.arteries) | 249 |
| abstract_inverted_index.assurance | 95 |
| abstract_inverted_index.branches, | 13 |
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| abstract_inverted_index.outcomes, | 290 |
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| abstract_inverted_index.Pancreatic | 126 |
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| abstract_inverted_index.addressed. | 287 |
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