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

• Authors: Jerzy Piecuch , Maciej Wiewióra , Monika Szrot , Janusz Jopek , Albert Krzak , Szymon Haza , Krystyn Sosada
• 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.

Keywords

EN

obesity; rectal cancer; anterior resection; anastomotic leakage

• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 87
• Issue: 3
• Pages: 124-128

Dates

published

1 - 3 - 2015

received

2 - 3 - 2015

online

3 - 7 - 2015

Contributors

author

Jerzy Piecuch

• 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

Maciej 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

author

Monika Szrot

• 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

Janusz Jopek

• 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

Albert Krzak

• 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

Szymon Haza

• 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

Krystyn 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

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Identifiers

DOI

10.1515/pjs-2015-0031