ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2011
Influence of visceral obesity for postoperative pulmonary complications after pancreaticoduodenectomy.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Visceral obesity determined by CT scan and outcomes after colorectal surgery; a systematic review and meta-analysis.International journal of colorectal disease · 2015Pooled it
- Morphomic predictors for post-esophagectomy pulmonary complications and overall survival.Journal of thoracic disease · 2025Article
- Impact of overweight on patients undergoing laparoscopic pancreaticoduodenectomy: analysis of surgical outcomes in a high-volume center.BMC surgery · 2024Article
- A novel prediction model of pancreatic fistula after pancreaticoduodenectomy using only preoperative markers.BMC surgery · 2023Article
- Article
- Association of Severe Obesity and Chronic Obstructive Pulmonary Disease With Pneumonia Following Non-Cardiac Surgery.Journal of clinical medicine research · 2022Article
- Three-dimensional hernia analysis: the impact of size on surgical outcomes.Surgical endoscopy · 2020Article
- Intensive perioperative rehabilitation improves surgical outcomes after pancreaticoduodenectomy.Langenbeck's archives of surgery · 2018Article
- Low skeletal muscle radiation attenuation and visceral adiposity are associated with overall survival and surgical site infections in patients with pancreatic cancer.Journal of cachexia, sarcopenia and muscle · 2017Article
- Preoperative Computed Tomography to Predict and Stratify the Risk of Severe Pancreatic Fistula After Pancreatoduodenectomy.Medicine · 2015Article
- A comparison of two invagination techniques for pancreatojejunostomy after pancreatoduodenectomy.Gastroenterology research and practice · 2015Article
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Authors and funding
7 authors.
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Abstract
backgroundWe conduct this study to determine whether postoperative complications, including postoperative pulmonary complications (PPCs), are associated with BMI and visceral fat area (VFA) after pancreaticoduodenectomy.
methodsA total of 317 patients undergoing pancreaticoduodenectomy were enrolled. VFA was measured using a cross-sectional computed tomography (CT) scan at the level of the umbilicus by FatScan software version 3.0 (N2 systems Inc., Osaka, Japan). Clinicopathological variables, intraoperative outcomes, and postoperative courses were analyzed.
resultsOf all patients, 130 (41.0%) had postoperative complications and PPCs occurred in 14 patients (4.4%). VFA were significantly higher in patients who developed postoperative pancreatic fistula (POPF), PPCs, and mortality than in those patients who did not (P = .0282, P = .0058, and P = .0173, respectively). Multivariate analysis demonstrated that high BMI and high VFA were not independent predictive risk factors for POPF grade B/C and mortality; only high VFA was an independent risk factor influencing PPCs (P = .0390, odds ratio 4.246, 95% confidence interval 1.076-16.759).
conclusionsVisceral obesity was the independent risk factor for the incidence of PPCs after pancreaticoduodenectomy. Preoperative VFA measurement using CT scan is a useful tool for the prediction of the development of PPCs compared to BMI calculation.
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