Cited 4 times in
Impact of BMI on Complications of Gastric Endoscopic Submucosal Dissection
DC Field | Value | Language |
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dc.contributor.author | 김나영 | - |
dc.contributor.author | 김소연 | - |
dc.contributor.author | 이기영 | - |
dc.contributor.author | 이혜선 | - |
dc.date.accessioned | 2021-09-29T02:03:00Z | - |
dc.date.available | 2021-09-29T02:03:00Z | - |
dc.date.issued | 2021-06 | - |
dc.identifier.issn | 0257-2753 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/184684 | - |
dc.description.abstract | Background: Gastric endoscopic submucosal dissection (ESD) has a high rate of complications. However, it is unclear whether BMI affects ESD complications. We aimed to investigate the impact of BMI on ESD complications. Methods: A total of 7,263 patients who underwent gastric ESD were classified into 3 groups according to the Asia-Pacific classification of BMI: normal (BMI <23 kg/m2, n = 2,466), overweight (BMI 23-24.9 kg/m2, n = 2,117), and obese (BMI ≥25 kg/m2, n = 2,680). Adjusted logistic regression analyses were conducted to assess the association between BMI and ESD complications. Results: Compared to the normal group, a lower incidence of perforation and a higher incidence of pneumonia and leukocytosis were found in the overweight and obese groups, and intra-ESD desaturation and hypertension were more frequent in the obese group. After adjustment for confounders, the risk of perforation significantly decreased in the overweight (odds ratio [OR] = 0.24, 95% confidence interval [CI]: 0.17-0.33) and obese (OR = 0.12, 95% CI: 0.08-0.18) groups compared to that in the normal group. Meanwhile, the risk of pneumonia significantly increased in the overweight (OR = 11.04, 95% CI: 6.31-19.31) and obese (OR = 10.71, 95% CI: 6.14-18.66) groups compared to the normal group. During sedation, the obese group had a significantly increased risk of desaturation (OR = 2.81, 95% CI: 1.18-6.69) and hypertension (OR = 1.35, 95% CI: 1.11-1.63) compared to the normal group. Conclusions: High BMI was significantly associated with ESD complications. More caution is needed in cases of obese patients undergoing ESD. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | S. Karger | - |
dc.relation.isPartOf | DIGESTIVE DISEASES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Body Mass Index* | - |
dc.subject.MESH | Endoscopic Mucosal Resection / adverse effects* | - |
dc.subject.MESH | Gastric Mucosa / surgery* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Incidence | - |
dc.subject.MESH | Logistic Models | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Obesity / complications* | - |
dc.subject.MESH | Obesity / physiopathology | - |
dc.subject.MESH | Postoperative Complications / epidemiology | - |
dc.subject.MESH | Postoperative Complications / etiology* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Impact of BMI on Complications of Gastric Endoscopic Submucosal Dissection | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | Na Young Kim | - |
dc.contributor.googleauthor | Hye Sun Lee | - |
dc.contributor.googleauthor | Ki-Young Lee | - |
dc.contributor.googleauthor | Soyoung Jeon | - |
dc.contributor.googleauthor | Seung Yeon Choi | - |
dc.contributor.googleauthor | Hye Ji Joo | - |
dc.contributor.googleauthor | Ji Eun Kim | - |
dc.contributor.googleauthor | So Yeon Kim | - |
dc.identifier.doi | 10.1159/000512899 | - |
dc.contributor.localId | A00348 | - |
dc.contributor.localId | A00616 | - |
dc.contributor.localId | A02695 | - |
dc.contributor.localId | A03312 | - |
dc.relation.journalcode | J00736 | - |
dc.identifier.eissn | 1421-9875 | - |
dc.identifier.pmid | 33166954 | - |
dc.identifier.url | https://www.karger.com/Article/FullText/512899 | - |
dc.subject.keyword | BMI | - |
dc.subject.keyword | Complication | - |
dc.subject.keyword | Endoscopic submucosal dissection | - |
dc.subject.keyword | Gastric neoplasm | - |
dc.contributor.alternativeName | Kim, Na Young | - |
dc.contributor.affiliatedAuthor | 김나영 | - |
dc.contributor.affiliatedAuthor | 김소연 | - |
dc.contributor.affiliatedAuthor | 이기영 | - |
dc.contributor.affiliatedAuthor | 이혜선 | - |
dc.citation.volume | 39 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 301 | - |
dc.citation.endPage | 309 | - |
dc.identifier.bibliographicCitation | DIGESTIVE DISEASES, Vol.39(4) : 301-309, 2021-06 | - |
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