Measurement of visceral fat on preoperative computed tomography predicts complications after sigmoid colectomy for diverticular disease - 18/06/15
Abstract |
Background |
Visceral and subcutaneous abdominal fat parameters have been associated with worse surgical outcomes in colorectal cancer but have not been investigated in diverticulitis.
Methods |
Volumetric fat parameters were measured on preoperative computed tomography scans from 211 diverticulitis patients. Primary outcome was a serious postoperative complication (Clavien-Dindo grades 2-4). Variables including age, disease duration, American Society of Anesthesiology score, ostomy, immunosuppression, body mass index, and volumetric fat parameters were examined. SPSS was used for statistics.
Results |
The serious postoperative complication rate was 12.7%. On univariate analysis, several factors including older age (P = .0001), ostomy creation (P = .02), higher visceral fat (VF, P = .01), emergent surgery (P = .05), and higher American Society of Anesthesiology score (P = .05) were associated with complications. On multivariate regression analysis, only VF was independently associated with complications.
Conclusions |
Diverticulitis patients with high VF are more likely to develop complications after sigmoidectomy. VF measurement may potentially be used as a tool to assist in surgical decision making and prediction of outcomes.
Le texte complet de cet article est disponible en PDF.Highlights |
• | We aimed to identify predictors of postoperative complications in diverticulitis. |
• | We studied volumetric fat on preoperative CT scans and demographics were studied. |
• | Visceral fat was the only independent predictor of complications. |
• | Patients with greater than 165 cm2 visceral fat had an OR of 3.1 for developing complications. |
Keywords : Diverticulitis, Volumetric fat parameters, Visceral fat, Complications, Sigmoidectomy
Plan
| The authors declare no conflicts of interest. |
Vol 210 - N° 2
P. 285-290 - août 2015 Retour au numéro
Article précédent
- Even modest hypoalbuminemia affects outcomes of colorectal surgery patients
- Zhobin Moghadamyeghaneh, Grace Hwang, Mark H. Hanna, Michael J. Phelan, Joseph C. Carmichael, Steven D. Mills, Alessio Pigazzi, Matthew O. Dolich, Michael J. Stamos
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- Zhobin Moghadamyeghaneh, Mark H. Hanna, Grace Hwang, Joseph C. Carmichael, Steven D. Mills, Alessio Pigazzi, Michael J. Stamos
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