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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

 Ho Kyoung Hwang  ;  Joon Seong Park  ;  Dong Sup Yoon  ;  Jae Keun Kim  ;  Chan-il Park 
 JOP : Journal of the Pancreas, Vol.12(6) : 586-592, 2011 
Journal Title
 JOP : Journal of the Pancreas 
Issue Date
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.
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
김재근(Kim, Jae Keun) ; 박준성(Park, Joon Seong) ; 박찬일(Park, Chan Il) ; 윤동섭(Yoon, Dong Sup) ; 황호경(Hwang, Ho Kyoung)
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