Subject Body Mass Index Affects Doppler Waveform in Celiac Artery by Duplex Ultrasound



Akram M Asbeutah 1, *, Yousif Y Bakir 1, Nayanatara Swamy 2, Abdul Aziz A Absuetah 3, Muna A Abu-Asi 4, Prem Sharma 5
1 Department of Radiologic Sciences, Faculty of Allied Health Sciences, Kuwait University, Kuwait
2 Department of Clinical Radiology, Al-Sabah Hospital, Ministry of Health, Kuwait
3 Faculty of Medicine, Health Sciences Center, Kuwait University, Kuwait
4 Department of Science, School of Basic Education, Public Authority of Applied Education & Training, Kuwait
5 Center for Research, Faculty of Medicine, Health Sciences Center, Kuwait University, Kuwait


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© Asbeutah et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Radiologic Sciences, Faculty of Allied Health Sciences, Kuwait University, PO Box 31470, Sulaibekhat 90805, Kuwait; Tel: +965-66518535; Fax: +965-25350621; E-mails: Asbeutah_akram@hotmail.com; Akram.asbeutah@hsc.edu.kw


Abstract

Objective:

The aim of this study is to evaluate the effect of body mass index (BMI) on peak systolic velocity (PSV) recording in the celiac artery (CA).

Subjects & Methods:

Forty male participants were entered prospectively into the study. The subjects were divided into two groups according to their body mass index. Group A included subjects with BMI ≤25 Kg/m2 and those in group B with BMI >25 Kg/m2. The diameter and PSV at the origin of CA of subjects in both groups were recorded while the subject positioned in supine and during expiration phase and fasted for 4 hours using duplex ultrasound. Both groups were matched for age and sex. Independent Student’s t-test was used to test if there is any statistical significance between diameter and PSV in both groups.

Results:

Group A’s, average age (year, ±SD) was 29.35±1.35 and average BMI (Kg/m2, ±SD) was 23.1±1.60. Group B’s, average age was 30±2.1 and their average BMI was 31±5.1. The average diameter (cm, ±SD) of CA in group A was 0.66±0.076 and in group B was 0.80±0.066. However, the average PSV (cm/s, ±SD) was 117±28.1 in group A and 102±12.4 in group B. Independent student t-test showed statistical significance between both groups for the diameter (p=0.005) and just reached statistical significance for PSV (p=0.049).

Conclusion:

Subjects with higher BMI showed reduced PSV due to a larger CA diameter and probably due to more fatty tissue accumulation around the CA origin.

Keywords: Celiac compression syndrome, mesenteric vessels, mesenteric ischemia, celiac artery, Doppler ultrasound, Doppler velocity, body mass index..