Is there a significant change in the angulation of the celiac (coeliac) axis during respiratory phases?

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Last updated: February 8, 2025View editorial policy

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From the Research

Introduction

The celiac axis, also known as the celiac trunk, is a vital blood vessel that arises from the abdominal aorta and supplies blood to the stomach, liver, and other abdominal organs. Understanding the anatomy and variations of the celiac axis is crucial for healthcare providers, particularly in the context of surgical and radiological procedures.

Anatomical Variations of the Celiac Axis

Studies have shown that the celiac axis exhibits significant anatomical variations, which can be classified into different types based on the origin and branching pattern of the vessel [ 1, 2 ]. These variations can have important implications for surgical and radiological procedures, as they may affect the approach and technique used.

Effect of Respiratory Phases on Celiac Axis Angulation

Research has investigated the effect of respiratory phases on the angulation of the celiac axis. One study found that the celiac artery compression by the median arcuate ligament can be accentuated at end expiration, leading to a potential pitfall in breath-hold abdominal imaging [ 3 ]. This suggests that the angulation of the celiac axis may change significantly during different respiratory phases.

Key Findings

  • The celiac axis exhibits significant anatomical variations, which can be classified into different types [ 1, 2 ].
  • The angulation of the celiac axis may change significantly during different respiratory phases, with accentuation of compression at end expiration [ 3 ].
  • Understanding the anatomy and variations of the celiac axis is crucial for healthcare providers, particularly in the context of surgical and radiological procedures.

Treatment and Management

In terms of treatment and management, it is essential to consider the anatomical variations of the celiac axis and the potential effects of respiratory phases on its angulation. This may involve:

  • Using imaging techniques that take into account the respiratory phase, such as inspiration or expiration [ 3 ].
  • Being aware of the potential for celiac axis compression and taking steps to avoid it during surgical and radiological procedures.
  • Considering the use of alternative approaches or techniques that minimize the risk of complications related to celiac axis anatomy and variations.

Differentials and Caveats

When evaluating the celiac axis, it is essential to consider the following differentials and caveats:

  • Anatomical variations of the celiac axis, which can affect the approach and technique used in surgical and radiological procedures [ 1, 2 ].
  • The potential effects of respiratory phases on the angulation of the celiac axis, which can lead to accentuation of compression at end expiration [ 3 ].
  • The importance of using imaging techniques that take into account the respiratory phase and the anatomical variations of the celiac axis.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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