SynthesisInternational journal of colorectal disease2015
Visceral obesity determined by CT scan and outcomes after colorectal surgery; a systematic review and meta-analysis.
Synthesis in International journal of colorectal disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
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Who cites it
39 citing papers in PubMed, 74 citations in OpenAlex.
- Preoperative Skeletal Muscle Index as an Independent Predictor of Anastomotic Leakage After Colorectal Cancer Surgery: A Retrospective Cohort Study.Diagnostics (Basel, Switzerland) · 2026Article
- Evaluating the impact of GLP-1 receptor agonists in combination with total neoadjuvant therapy for locally advanced rectal cancer.The British journal of surgery · 2026Review
- Local fat, local risk: mesorectal fat volume outperforms BMI in predicting rectal cancer surgery outcomes.Frontiers in nutrition · 2026Article
- Genetic ancestry influences body shape and obesity risk in Latin American populations.Scientific reports · 2025Article
- Impact of visceral fat area on surgical difficulty during robotic distal pancreatectomy (TAKUMI-2).Surgical endoscopy · 2025Article
- Vascular pedicle dissection time in laparoscopic colectomies as a novel marker of surgical skill: a prospective cohort study.Techniques in coloproctology · 2025Article
- Body composition parameters in initial CT imaging of mechanically ventilated trauma patients: Single-centre observational study.Journal of cachexia, sarcopenia and muscle · 2024Observational
- Association between body composition and incisional surgical site infection after laparoscopic appendectomy for complicated appendicitis.BMC surgery · 2024Article
- Sarcopenia is independently associated with poor preoperative physical fitness in patients undergoing colorectal cancer surgery.Journal of cachexia, sarcopenia and muscle · 2024Article
- The Relationship between Liver Volume, Clinicopathological Characteristics and Survival in Patients Undergoing Resection with Curative Intent for Non-Metastatic Colonic Cancer.Tomography (Ann Arbor, Mich.) · 2024Article
- Impact of visceral fat area on short-term outcomes in robotic surgery for mid and low rectal cancer.Journal of robotic surgery · 2024Article
- Visceral Obesity and a High Glasgow Prognostic Score Are Key Prognostic Factors for Metastatic Colorectal Cancer Treated with First Line Chemotherapy.Journal of the anus, rectum and colon · 2024Article
- Sarcobesity, but not visceral fat, is an independent risk factor for complications after radical resection of colorectal cancer.Frontiers in nutrition · 2023Article
- Advantage of laparoscopic surgery in patients with generalized obesity operated for colorectal malignancy: A retrospective cohort study.Frontiers in surgery · 2022Article
- Linear Skeletal Muscle Index and Muscle Attenuation May Be New Prognostic Factors in Colorectal Carcinoma Treated by Radical Resection.Frontiers in oncology · 2022Article
- Impact of obesity in colorectal endoscopic submucosal dissection: single-center retrospective cohort study.BMC gastroenterology · 2021Article
- Prognostic Value of Pretreatment Overweight/Obesity and Adipose Tissue Distribution in Resectable Gastric Cancer: A Retrospective Cohort Study.Frontiers in oncology · 2021Article
- Impact of the preoperative body composition indexes on intraoperative blood loss in patients undergoing pancreatoduodenectomy.Surgery today · 2021Observational
- Association of Low Muscle Mass and Low Muscle Radiodensity With Morbidity and Mortality for Colon Cancer Surgery.JAMA surgery · 2020Article
- The Value of Morphometric Measurements in Risk Assessment for Donor-Site Complications after Microsurgical Breast Reconstruction.Journal of clinical medicine · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVisceral obesity may affect outcome after colorectal surgery. The visceral fat area as determined by CT scanning is considered the standard in the detection of visceral obesity.
methodA systematic review was performed of trials investigating the effect of visceral obesity on outcomes of patients with colorectal cancer with no radiotherapy or chemotherapy and measured by CT scanning. The main endpoints were primary hospital stay, morbidity, operative time and blood loss. Quality assessment and data extraction were performed independently by two observers.
resultsSeven studies were eligible for analysis, including 1230 patients. Primary hospital stay (weighted mean difference 1.16 days, 95% CI 0.0.05 to 2.28 days, p = 0.04), morbidity rates (RR 0.15, 95% CI 0.10 to 0.21, p < 0.00001) and operative time (weighted mean difference 20.47 min, 95% CI 12.76 to 28.17 min, p < 0.00001) were significantly higher for visceral obese patients. No difference was found in blood loss.
conclusionVisceral obesity leads to a longer hospital stay, higher morbidity and longer operative time after elective colon surgery. These findings show that the preoperative CT scan for detecting disseminated disease can be used to assess visceral obesity and helps in risk profiling patients undergoing elective colon surgery.
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