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2015 | 87 | 3 | 124-128

Article title

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

Content

Title variants

Languages of publication

EN

Abstracts

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.

Publisher

Year

Volume

87

Issue

3

Pages

124-128

Physical description

Dates

published
1 - 3 - 2015
received
2 - 3 - 2015
online
3 - 7 - 2015

Contributors

author
  • 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
  • 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
author
  • 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
author
  • 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
author
  • 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
author
  • 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

References

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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0031
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