Upper Abdominal Shape and Risk of Pancreatic Fistula After Gastrectomy
Author Information
Author(s): Yamamoto Naoto, Oshima Takashi, Sato Tsutomu, Makino Hirochika, Nagano Yasuhiko, Fujii Shoichi, Rino Yasushi, Imada Toshio, Kunisaki Chikara
Primary Institution: Yokohama City University Medical Center
Hypothesis
Does upper abdominal shape influence the development of postoperative pancreatic fistula after total gastrectomy with splenectomy?
Conclusion
Obese patients or those with a deep abdominal cavity are at a higher risk for postoperative pancreatic fistula after total gastrectomy with splenectomy.
Supporting Evidence
- POPF occurred in 7 patients (14.0%) and was associated with a higher BMI.
- Logistic-regression analysis revealed that a high BMI and a high CA depth ratio independently predicted the occurrence of POPF.
- Median U-APD, U-TD, CAD, CATD, and CA depth ratio were reported.
Takeaway
If someone is very overweight or has a deep belly, they might have more problems after stomach surgery.
Methodology
Retrospective study measuring abdominal shape and its correlation with postoperative complications in patients undergoing total gastrectomy with splenectomy.
Potential Biases
Potential bias due to the retrospective nature of the study and the small number of patients.
Limitations
The study had a small sample size and low incidence of complications, which may limit the generalizability of the results.
Participant Demographics
Median age was 66 years, with 84% male and 16% female participants.
Statistical Information
P-Value
0.002
Confidence Interval
19.0 (2.8 – 127.0); 13.7 (1.2 – 161.7)
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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