Intra-abdominal infectious complications following gastrectomy in patients with excessive visceral fat
- 13 October 2011
- journal article
- Published by Springer Science and Business Media LLC in Gastric Cancer
- Vol. 15 (2), 206-212
- https://doi.org/10.1007/s10120-011-0099-0
Abstract
Excessive visceral fat may be a better predictor of the development of postoperative morbidity after gastrectomy than body mass index (BMI). The aim of the present study was to clarify the most appropriate fat parameter to predict pancreas-related infection and anastomotic leakage following gastrectomy. The study was performed in 206 patients who underwent curative gastrectomy at the Shizuoka Cancer Center between April 2008 and March 2009. Relationships between fat parameters, including visceral fat area (VFA), and early surgical outcomes were investigated. The risk factors for pancreas-related infection and anastomotic leakage were identified using univariate and multivariate analyses. There was no strong association between any of the fat parameters and operating time, intraoperative blood loss, the number of lymph nodes retrieved, or the duration of the postoperative hospital stay. Pancreas-related infection occurred in 18 patients (8.7%), whereas anastomotic leakage was observed in 10 patients (4.9%). Of all the fat parameters, only VFA was found to be an independent risk factor for both pancreas-related infection and anastomotic leakage, with odds ratios (95% confidence intervals) of 1.015 (1.005–1.025) and 1.010 (1.000–1.021), respectively. Excessive visceral fat, represented by the VFA, was found to be an independent risk factor for both pancreas-related infection and anastomotic leakage following gastrectomy.Keywords
This publication has 36 references indexed in Scilit:
- Prognostic Value of Body Mass Index on Short‐Term and Long‐Term Outcome after Resection of Esophageal CancerWorld Journal of Surgery, 2010
- Impact of anastomotic leakage on long-term survival after total gastrectomy for carcinoma of the stomachBritish Journal of Surgery, 2010
- Experience in laparoscopic sleeve gastrectomy for morbidly obese Taiwanese: staple-line reinforcement is important for preventing leakageSurgical Endoscopy, 2010
- Abdominal obesity and metabolic syndromeNature, 2006
- Influence of Overweight on Surgical Complications for Gastric Cancer: Results From a Randomized Control Trial Comparing D2 and Extended Para-aortic D3 Lymphadenectomy (JCOG9501)Annals of Surgical Oncology, 2006
- Complications after Extended (D2) and Superextended (D3) Lymphadenectomy for Gastric Cancer: Analysis of Potential Risk FactorsAnnals of Surgical Oncology, 2006
- Risk factors for pancreas-related abscess after total gastrectomyGastric Cancer, 2005
- Classification of Surgical ComplicationsAnnals of Surgery, 2004
- Randomized clinical trial of morbidity after D1 and D3 surgery for gastric cancerBritish Journal of Surgery, 2004
- Gastric cancer treatment guidelines in JapanGastric Cancer, 2002