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The impact of body mass index on pancreatic fistula after pancreaticoduodenectomy in Asian patients on the basis of Asia-Pacific perspective of body mass index

Title
The impact of body mass index on pancreatic fistula after pancreaticoduodenectomy in Asian patients on the basis of Asia-Pacific perspective of body mass index
Authors
Ho Kyoung Hwang;Joon Seong Park;Dong Sup Yoon;Jae Keun Kim;Chan-il Park
Issue Date
2011
Journal Title
Journal of the Pancreas
ISSN
1590-8577
Citation
Journal of the Pancreas, Vol.12(6) : 586~592, 2011
Abstract
CONTEXT: Several surgical complications are related to obesity. OBJECTIVE: This study evaluated the impact of obesity on pancreatic fistula after pancreaticoduodenectomy. DESIGN: We retrospectively reviewed the medical records of 159 patients who underwent pancreaticoduodenectomy between October 2002 and December 2008. SETTING: The patients were divided according to the body mass index as obese (body mass index equal to, or greater than, 25 kg/m(2)), or normal (body mass index less than 25 kg/m(2)). METHODS: Univariate and multivariate analyses were applied. Two-tailed P values less than 0.05 were considered as significant. RESULTS: Forty-six patients (28.9%) were obese and 113 patients (71.1%) were normal-weight. Obese group had a significantly higher incidence of pancreatic fistula and a greater amount of intraoperative blood loss. Other surgical complications were not significantly different between the two groups. Multivariate analysis found obesity, small pancreatic duct size (less than, or equal to, 3 mm), intraoperative blood loss, and combined resection as significant factors affecting pancreatic fistula. CONCLUSIONS: Obese patients have an increased risk for pancreatic fistula after pancreaticoduodenectomy.
URI

http://ir.ymlib.yonsei.ac.kr/handle/22282913/95042
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Pathology
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
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