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2015 | 87 | 3 | 124-128
Tytuł artykułu

Influence of Obesity on Anastomotic Leakage After Anterior Rectal Resectionperformed Due to Cancer

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Anterior resection for rectal cancer carries the risk of serious complications, especially fistulas at the site of anastomosis. Numerous factors have been shown to impact anastomotic leakage. The results of studies on the influence of obesity on the frequency of anastomotic leakage after rectal resection performed due to cancer have been contradictory. The aim of the study was to evaluate the relationship between body mass index (BMI) and frequency of anastomotic leakage after anterior rectal resection performed due to cancer. Material and methods. This retrospective analysis included 222 subsequent patients who had undergone anterior resection due to cancer with an anastomosis formed with a mechanical suture. The patients were divided into 3 groups depending on their BMI quartile as follows: Group I, BMI < 23.8 kg/m2 (lower quartile); group II, BMI between 23.8 and 29.38 kg/m2 (middle quartile); and group III, BMI > 29.38 kg/m2 (upper quartile). Results. Anastomotic leakage occurred in 8 (3.6%) patients. Fistulas occurred in 4 out of 61 patients (6.56%) in group I, which was the highest incidence of fistulas for all 3 groups. In group II, fistulas occurred in 2 out of 55 patients (3.63%), and similarly, in group III, they occurred in 2 out of 106 patients (1.87%). The differences found in the frequency of fistulas between groups were not statistically significant (p=0.31). The logistic regression analysis did not show any relationship between leakage and age (p = 0.55; OR = 1.02; 95% CI: 0.95 - 1.1), sex (p = 0.97; OR = 0.97; 95% CI: 0.22 - 4.25) or BMI (p = 0.27; OR = 0.58; 95% CI: 0.22 - 1.53). Conclusions. The results of our study show that BMI did not have any influence on the frequency of anastomotic leakage after anterior rectal resection performed due to cancer.
Wydawca
Rocznik
Tom
87
Numer
3
Strony
124-128
Opis fizyczny
Daty
wydano
2015-03-01
otrzymano
2015-03-02
online
2015-07-03
Twórcy
  • Department of General and Bariatric Surgery and Emergency Medicine, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice Kierownik: prof. dr hab. K. Sosada , jerzy.piecuch@wp.pl
  • Department of General and Bariatric Surgery and Emergency Medicine, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice Kierownik: prof. dr hab. K. Sosada
autor
  • Department of General and Bariatric Surgery and Emergency Medicine, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice Kierownik: prof. dr hab. K. Sosada
autor
  • Department of General and Bariatric Surgery and Emergency Medicine, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice Kierownik: prof. dr hab. K. Sosada
autor
  • Student Scientific Society, Department of General and Bariatric Surgery and Emergency Medicine in Zabrze, Medical University of Silesia in Katowice Opiekun Studenckiego Koła Naukowego: dr n. med. M. Wiewióra
autor
  • Student Scientific Society, Department of General and Bariatric Surgery and Emergency Medicine in Zabrze, Medical University of Silesia in Katowice Opiekun Studenckiego Koła Naukowego: dr n. med. M. Wiewióra
  • Department of General and Bariatric Surgery and Emergency Medicine, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice Kierownik: prof. dr hab. K. Sosada
Bibliografia
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  • 24. Poulsen M, Ovesen H: Is laparoscopic colorectal cancer surgery in obese patients associated with an increased risk? Short-term results from a single center study of 425 patients. J Gastrointest Surg 2012; 16: 1554-58.
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0031
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