{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:55:34Z","timestamp":1792108534555,"version":"4.4.0"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"2","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Introduction:  Superior mesenteric artery (SMA) usually arises from the abdominal aorta, just below the celiac trunk and it supplies the midgut-derived embryonic structures. Anatomical variations in this vessel contribute to problems in the formation and\/or absorption of this part of the intestine and its absence has been recognized as the cause of congenital duodenojejunal atresia.  Objective:  To analyze SMA anatomical variations in humans and the possible associated clinical and surgical implications.  Methods:  This is a systematic review of papers indexed in PubMed, SciELO, Springerlink, Science Direct, Lilacs, and Latindex databases. The search was performed by two independent reviewers between September and December 2018. Original studies involving SMA variations in humans were included. SMA presence\/absence, level, place of origin and its terminal branches were considered.  Results:  At the end of the search, 18 studies were selected, characterized as for the sample, method to evaluate the anatomical structure and main results. The most common type of variation was when SMA originated from the right hepatic artery (6.13%). Two studies (11.11%) evidenced the inferior mesenteric artery originating from the SMA, whereas other two (11.11%) found the SMA sharing the same origin of the celiac trunk.  Conclusion:  SMA variations are not uncommon findings and their reports evidenced through the scientific literature demonstrate a great role for the development of important clinical conditions, making knowledge about this subject relevant to surgeons and professionals working in this area.<\/jats:p>","DOI":"10.1590\/0102-672020190001e1508","type":"journal-article","created":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T20:42:15Z","timestamp":1598301735000},"source":"Crossref","is-referenced-by-count":22,"title":["ANATOMICAL VARIATIONS OF THE SUPERIOR MESENTERIC ARTERY AND ITS CLINICAL AND SURGICAL IMPLICATIONS IN HUMANS"],"prefix":"10.1590","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8719-0369","authenticated-orcid":false,"given":"Natasha Gabriela Oliveira da","family":"SILVA","sequence":"first","affiliation":[{"name":"Unifacisa University Center,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5427-8476","authenticated-orcid":false,"given":"Ana Beatriz Marques","family":"BARBOSA","sequence":"additional","affiliation":[{"name":"Unifacisa University Center,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9707-9661","authenticated-orcid":false,"given":"Nathalie de Almeida","family":"SILVA","sequence":"additional","affiliation":[{"name":"Unifacisa University Center,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9541-5852","authenticated-orcid":false,"given":"Diego Neves","family":"ARA\u00daJO","sequence":"additional","affiliation":[{"name":"Unifacisa University Center,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8725-0456","authenticated-orcid":false,"given":"Thiago de Oliveira","family":"ASSIS","sequence":"additional","affiliation":[{"name":"Unifacisa University Center,  Brazil; Para\u00edba State University,  Brazil; Federal University of Campina Grande,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"key":"ref1","first-page":"62","article-title":"Artery reconstruction in liver transplantation: the best reconstruction of right hepatic artery variation","volume":"26","author":"Andraus W","year":"2013","journal-title":"Arq Bras Cir Dig"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"129","DOI":"10.4103\/1735-1995.196611","article-title":"Anatomical variation of celiac axis, superior mesenteric artery, and hepatic artery: Evaluation with multidetector computed tomography angiography","volume":"21","author":"Farghadani M","year":"2016","journal-title":"J Res Med Sci"},{"key":"ref3","first-page":"35","article-title":"Anatomic variation of hepatic artery: a study in 479 liver transplantions","volume":"30","author":"Fonseca-neto OCL","year":"2017","journal-title":"ArqBrasCirDig"},{"key":"ref4","first-page":"13","article-title":"Anatomia arterial hep\u00e1tica: estudo em 150 transplantes hep\u00e1ticos","volume":"28","author":"Freitas ACT","year":"2001","journal-title":"RevColBrasCir"},{"key":"ref5","first-page":"519","article-title":"The superior mesenteric artery and the variations of the colic patterns. A new anatomical and radiological classification of the colic arteries","volume":"38","author":"Gamo E","year":"2016","journal-title":"Surg RadiolAnat"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1590\/S0102-67202014000400021","article-title":"Atypical origin of the common hepatic artery","volume":"27","author":"Gomes GV","year":"2014","journal-title":"Arq Bras Cir Dig"},{"key":"ref7","first-page":"86","article-title":"Isquemia Mesent\u00e9rica","volume":"26","author":"Gon\u00e7alves WM","year":"1997","journal-title":"ArqCatMed"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1136\/bmj.315.7103.305","article-title":"Assessing the methodological quality of published papers","volume":"315","author":"Greenhalgh T","year":"1997","journal-title":"BMJ"},{"key":"ref9","first-page":"83","article-title":"Morphological variations of superior mesenteric artery: a cadaveric study","volume":"1","author":"Jain P","year":"2013","journal-title":"International Journal of Anatomy and Research"},{"key":"ref10","first-page":"2791","article-title":"Bilious vomiting in the newborn: rapid diagnosis of intestinal obstruction","volume":"61","author":"Kimura K","year":"2000","journal-title":"Am Fam Physician"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1002\/ar.1092170113","article-title":"Rare case of the inferior mesenteric artery arising from the superior mesenteric artery","volume":"217","author":"Kitamura S","year":"1987","journal-title":"Anat Rec"},{"key":"ref12","first-page":"239","article-title":"Anatomic variations of the hepatic arteries in 604 selective celiac and superior mesenteric angiographies","volume":"26","author":"Koops A","year":"2004","journal-title":"Surg RadiolAnat"},{"key":"ref13","first-page":"38","article-title":"Analysis of anatomical variations of the main arteries branching from the abdominal aorta, with 64-detector computed tomography","volume":"75","author":"Kornafel O","year":"2010","journal-title":"Pol J Radiol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"Landis JR","year":"1977","journal-title":"Biometrics"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"400","DOI":"10.2519\/jospt.2009.2930","article-title":"Measurement properties of the neck disability index: A systematic review","volume":"39","author":"Macdermid JC","year":"2009","journal-title":"J OrthopSports Phys Ther"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1002\/ca.22293","article-title":"An unusual origin of the celiac trunk and the superior mesenteric artery in the thorax","volume":"26","author":"Matusz P","year":"2013","journal-title":"Clin Anat"},{"key":"ref17","first-page":"2","article-title":"Hepatomesenteric trunk and gastro-splenico-phrenic trunk","volume":"1","author":"Nayak SB","year":"2008","journal-title":"International JournalofAnatomicalVariations"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"447","DOI":"10.4067\/S0717-95022009000200022","article-title":"Niveles de origen de las arterias renales y mesent\u00e9rica superior respecto a la columna vertebral en individuos chilenos. Estudio por tomograf\u00edacomputarizada helicoidal","volume":"27","author":"Olave E","year":"2009","journal-title":"Int J Morphol"},{"key":"ref19","first-page":"221","article-title":"Variations of hepatic artery: anatomical study on cadavers","volume":"40","author":"Rocha SL","year":"2013","journal-title":"Rev Col Bras Cir"},{"key":"ref20","first-page":"1403","article-title":"Anatomical variations of the celiac trunk: a systematic review","volume":"31","author":"Santos PVD","year":"2018","journal-title":"Arq Bras Cir Dig"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1186\/s12887-016-0690-y","article-title":"Duodenal atresia with configuration of ileum of the ileum and absence of superior mesenteric artery","volume":"16","author":"Sa\u0161a RV","year":"2016","journal-title":"BMC Pediatr"},{"key":"ref22","first-page":"221","article-title":"Variations of hepatic artery: anatomical study on cadavers","volume":"40","author":"Sebben GA","year":"2013","journal-title":"Rev Col Bras Cir"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"532","DOI":"10.5603\/FM.a2017.0001","article-title":"Variation in morphology and branching pattern of superior mesenteric artery","volume":"76","author":"Taha KM","year":"2017","journal-title":"Folia Morphol (Warsz)"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"1858","DOI":"10.1016\/S0022-3468(99)90332-9","article-title":"Congenital absence of the superior mesenteric artery","volume":"34","author":"Torres A","year":"1999","journal-title":"J Pediatr Surg"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1016\/S0022-3468(99)90029-5","article-title":"Duodenojejunal atresia with apple peel configuration of the ileum and absent superior mesenteric artery: Observations on pathogenesis","volume":"34","author":"Weber DM","year":"1999","journal-title":"J Pediatr Surg"},{"key":"ref26","first-page":"511","article-title":"Absence of the superior mesenteric artery in an adult and a new classification method for superior-inferior mesenteric arterial variations","volume":"36","author":"Wu Y","year":"2014","journal-title":"Surg RadiolAnat"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1186\/s13104-017-2858-4","article-title":"A case of a cystic artery arising from the superior mesenteric artery with abnormal branching of the celiac trunk","volume":"10","author":"Yakura T","year":"2017","journal-title":"BMC Res Notes"},{"key":"ref28","first-page":"1382","article-title":"A case of the inferior mesenteric artery arising from the superior mesenteric artery in a korean woman","volume":"10","author":"Yoo SJ","year":"2011","journal-title":"J Korean Med Sci"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"104","DOI":"10.5152\/tjg.2014.5406","article-title":"Anatomic variations of the celiac trunk and hepatic arterial system with digital subtraction angiography","volume":"25","author":"Zagyapan R","year":"2015","journal-title":"Turkish J Gastroenterol"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v33n2\/0102-6720-abcd-33-02-e1508.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,24]],"date-time":"2021-01-24T00:35:30Z","timestamp":1611448530000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202020000200500&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":29,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020]]}},"alternative-id":["S0102-67202020000200500"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020190001e1508","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2020]]},"article-number":"e1508"}}