Evidence map›Paper›PMID 40411555›Full record

SynthesisSurgical and radiologic anatomy : SRA2025

The anatomy of the inferior mesenteric artery: a systematic review with meta-analysis.

George Triantafyllou, Nektarios Belimezakis, Orestis Lyros, Nikolaos Arkadopoulos, Fotis Demetriou, George Tsakotos, Maria Piagkou

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Surgical and radiologic anatomy : SRA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Total colonic supply via the inferior mesenteric artery.Surgical and radiologic anatomy : SRA · 2025
    Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

George TriantafyllouDepartment of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece.ORCID http://orcid.org/0009-0001-0122-2436
Nektarios BelimezakisDepartment of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece.ORCID http://orcid.org/0009-0003-6734-6313
Orestis LyrosFourth Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Haidari, Greece.ORCID http://orcid.org/0000-0002-7727-7804
Nikolaos ArkadopoulosFourth Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Haidari, Greece.ORCID http://orcid.org/0000-0002-0355-0417
Fotis DemetriouDepartment of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece.ORCID http://orcid.org/0009-0003-5974-0599
George TsakotosDepartment of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece.ORCID http://orcid.org/0000-0001-8559-8969
Maria PiagkouDepartment of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece. mapian@med.uoa.gr.ORCID http://orcid.org/0000-0002-4831-8005

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis evidence-based systematic review with meta-analysis aims to synthesize the inferior mesenteric artery (IMA) variants including their origin level, branching patterns, and morphometric characteristics. MATERIALS AND

methodsThe study adhered to the latest guidelines. Four online databases were used for the systematic review, and studies that reported the prevalence of IMA variants were considered eligible for inclusion. A statistical meta-analysis was conducted using R programming software with a random-effects model to calculate the pooled prevalence of the variants.

resultsTwenty-three (23) studies were included in this analysis. The IMA typically originated at the 3rd lumbar vertebra (L3) level, occurring in 70.16% of cases. The most common branching pattern of the IMA was bifurcated, indicating a pooled prevalence of 63.89%. This predominant pattern involved the IMA bifurcating into the left colic artery (LCA) and a common trunk for both the superior rectal artery (SRA) and the sigmoid artery (SA), with a pooled prevalence of 46.09%. The IMA trifurcation and tetrafurcation had pooled prevalences of 27.35% and 11.62%, respectively. The diameter of the IMA had a pooled mean of 41.41 mm, and the distance from the IMA's origin to the LCA had a pooled mean of 40.67 mm.

conclusionsThis review of existing literature delineates the IMA levels of origin, branching patterns, and morphometric characteristics. A comprehensive understanding of the surgical anatomy of this vessel is imperative during colorectal cancer procedures. Consequently, surgeons operating in this anatomical region must possess an in-depth knowledge of typical and variant anatomical structures.

Indexed as

Anatomic VariationMesenteric Artery, InferiorHumansEvidence-based anatomyInferior mesenteric arteryMeta-analysisSurgical anatomyVariation

Identifiers

PMID40411555
PMCPMC12103349

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.