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Obesity Does Not Impact Perioperative or Postoperative Outcomes in Patients with Inflammatory Bowel Disease
Background While the prevalence of obesity in IBD patients is rapidly increasing, it is unclear if obesity impacts surgical outcomes in this population. We aim to investigate the effects of BMI on perioperative and postoperative outcomes in IBD patients by stratifying patients into BMI groups and co...
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| Published in: | Journal of gastrointestinal surgery 2016-04, Vol.20 (4), p.725-733 |
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| cites | cdi_FETCH-LOGICAL-c405t-cbe068f9300200674af5c5bcd4474c22b73f7979a893724465bc386d1318c9c73 |
| container_end_page | 733 |
| container_issue | 4 |
| container_start_page | 725 |
| container_title | Journal of gastrointestinal surgery |
| container_volume | 20 |
| creator | Guardado, Jesse Carchman, Evie Danicic, Ashley E. Salgado, Javier Watson, Andrew R. Celebrezze, James P. Medich, David S. Holder-Murray, Jennifer |
| description | Background
While the prevalence of obesity in IBD patients is rapidly increasing, it is unclear if obesity impacts surgical outcomes in this population. We aim to investigate the effects of BMI on perioperative and postoperative outcomes in IBD patients by stratifying patients into BMI groups and comparing outcomes between these groups.
Methods
This is a retrospective cohort study where IBD patients who underwent intestinal surgeries between the years of 2000 to 2014 were identified. The patients were divided into groups based on BMI: underweight (BMI |
| doi_str_mv | 10.1007/s11605-015-3060-4 |
| format | article |
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While the prevalence of obesity in IBD patients is rapidly increasing, it is unclear if obesity impacts surgical outcomes in this population. We aim to investigate the effects of BMI on perioperative and postoperative outcomes in IBD patients by stratifying patients into BMI groups and comparing outcomes between these groups.
Methods
This is a retrospective cohort study where IBD patients who underwent intestinal surgeries between the years of 2000 to 2014 were identified. The patients were divided into groups based on BMI: underweight (BMI <18.5), normal weight (BMI 18.5–24.9), overweight (BMI 25–29.9), and obese (BMI ≥30). Preoperative patient demographics, operative variables, and postoperative complications were collected and compared between BMI groups.
Results
A total of 391 surgeries were reviewed (34 underweight, 187 normal weight, 105 overweight, and 65 obese) from 325 patients. No differences were observed in preoperative patient demographics, type of IBD, preoperative steroid or biologic mediator use, or mean laboratory values. No differences were observed in percent operative procedures with anastomosis, surgeries converted to open, estimated blood loss, intraoperative complications, and median operative time. Thirty-day postoperative complication rates including total complications, wound infection, or anastomotic leak were similar between groups. There was a statistically significant increased postoperative bleeding risk (
p
= 0.029) in underweight patients. The relative percent for increased postoperative bleeding risk between BMI groups was as follows: 2.9 % in underweight, zero in normal weight, 2.9 % in overweight, and zero in obese.
Conclusion
Obesity does not appear to impact intraoperative variables nor does obesity appear to worsen postoperative complication rates in IBD patients.</description><identifier>ISSN: 1091-255X</identifier><identifier>EISSN: 1873-4626</identifier><identifier>DOI: 10.1007/s11605-015-3060-4</identifier><identifier>PMID: 26696530</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Body Mass Index ; Female ; Gastroenterology ; Humans ; Ideal Body Weight ; Inflammatory bowel disease ; Inflammatory Bowel Diseases - surgery ; Intraoperative Complications ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity - complications ; Operative Time ; Original Article ; Overweight - complications ; Postoperative Complications ; Postoperative Period ; Retrospective Studies ; Surgery ; Thinness - complications</subject><ispartof>Journal of gastrointestinal surgery, 2016-04, Vol.20 (4), p.725-733</ispartof><rights>The Society for Surgery of the Alimentary Tract 2015</rights><rights>The Society for Surgery of the Alimentary Tract 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-cbe068f9300200674af5c5bcd4474c22b73f7979a893724465bc386d1318c9c73</citedby><cites>FETCH-LOGICAL-c405t-cbe068f9300200674af5c5bcd4474c22b73f7979a893724465bc386d1318c9c73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26696530$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guardado, Jesse</creatorcontrib><creatorcontrib>Carchman, Evie</creatorcontrib><creatorcontrib>Danicic, Ashley E.</creatorcontrib><creatorcontrib>Salgado, Javier</creatorcontrib><creatorcontrib>Watson, Andrew R.</creatorcontrib><creatorcontrib>Celebrezze, James P.</creatorcontrib><creatorcontrib>Medich, David S.</creatorcontrib><creatorcontrib>Holder-Murray, Jennifer</creatorcontrib><title>Obesity Does Not Impact Perioperative or Postoperative Outcomes in Patients with Inflammatory Bowel Disease</title><title>Journal of gastrointestinal surgery</title><addtitle>J Gastrointest Surg</addtitle><addtitle>J Gastrointest Surg</addtitle><description>Background
While the prevalence of obesity in IBD patients is rapidly increasing, it is unclear if obesity impacts surgical outcomes in this population. We aim to investigate the effects of BMI on perioperative and postoperative outcomes in IBD patients by stratifying patients into BMI groups and comparing outcomes between these groups.
Methods
This is a retrospective cohort study where IBD patients who underwent intestinal surgeries between the years of 2000 to 2014 were identified. The patients were divided into groups based on BMI: underweight (BMI <18.5), normal weight (BMI 18.5–24.9), overweight (BMI 25–29.9), and obese (BMI ≥30). Preoperative patient demographics, operative variables, and postoperative complications were collected and compared between BMI groups.
Results
A total of 391 surgeries were reviewed (34 underweight, 187 normal weight, 105 overweight, and 65 obese) from 325 patients. No differences were observed in preoperative patient demographics, type of IBD, preoperative steroid or biologic mediator use, or mean laboratory values. No differences were observed in percent operative procedures with anastomosis, surgeries converted to open, estimated blood loss, intraoperative complications, and median operative time. Thirty-day postoperative complication rates including total complications, wound infection, or anastomotic leak were similar between groups. There was a statistically significant increased postoperative bleeding risk (
p
= 0.029) in underweight patients. The relative percent for increased postoperative bleeding risk between BMI groups was as follows: 2.9 % in underweight, zero in normal weight, 2.9 % in overweight, and zero in obese.
Conclusion
Obesity does not appear to impact intraoperative variables nor does obesity appear to worsen postoperative complication rates in IBD patients.</description><subject>Adult</subject><subject>Body Mass Index</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Ideal Body Weight</subject><subject>Inflammatory bowel disease</subject><subject>Inflammatory Bowel Diseases - surgery</subject><subject>Intraoperative Complications</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity - complications</subject><subject>Operative Time</subject><subject>Original Article</subject><subject>Overweight - complications</subject><subject>Postoperative Complications</subject><subject>Postoperative Period</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Thinness - complications</subject><issn>1091-255X</issn><issn>1873-4626</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqFkctuFDEQRS0EIiHwAWyQJTbZNJTf7SUkPEaKmFmAxM5ye6qhQ3d7sN1E8_d4mPAQEmJVpapzb8m-hDxm8IwBmOeZMQ2qAaYaARoaeYecstaIRmqu79YeLGu4Uh9PyIOcrwGYAdbeJydca6uVgFPyZd1hHsqeXkbM9F0sdDXtfCh0g2mIO0y-DN-QxkQ3MZffg_VSQpyqZJjppo5wLpneDOUzXc396KfJl5j29GW8wZFeDhl9xofkXu_HjI9u6xn58PrV-4u3zdX6zerixVUTJKjShA5Bt70VABxAG-l7FVQXtlIaGTjvjOiNNda3Vhgupa470eotE6wNNhhxRs6PvrsUvy6Yi5uGHHAc_YxxyY611lQlqz_wX9QYpasvP7g-_Qu9jkua60N-UGCVlgeKHamQYs4Je7dLw-TT3jFwh9DcMTRXQ3OH0Jysmie3zks34faX4mdKFeBHINfV_AnTH6f_6fodm5CgyA</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Guardado, Jesse</creator><creator>Carchman, Evie</creator><creator>Danicic, Ashley E.</creator><creator>Salgado, Javier</creator><creator>Watson, Andrew R.</creator><creator>Celebrezze, James P.</creator><creator>Medich, David S.</creator><creator>Holder-Murray, Jennifer</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7TS</scope></search><sort><creationdate>20160401</creationdate><title>Obesity Does Not Impact Perioperative or Postoperative Outcomes in Patients with Inflammatory Bowel Disease</title><author>Guardado, Jesse ; Carchman, Evie ; Danicic, Ashley E. ; Salgado, Javier ; Watson, Andrew R. ; Celebrezze, James P. ; Medich, David S. ; Holder-Murray, Jennifer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-cbe068f9300200674af5c5bcd4474c22b73f7979a893724465bc386d1318c9c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Body Mass Index</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Ideal Body Weight</topic><topic>Inflammatory bowel disease</topic><topic>Inflammatory Bowel Diseases - surgery</topic><topic>Intraoperative Complications</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity - complications</topic><topic>Operative Time</topic><topic>Original Article</topic><topic>Overweight - complications</topic><topic>Postoperative Complications</topic><topic>Postoperative Period</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Thinness - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guardado, Jesse</creatorcontrib><creatorcontrib>Carchman, Evie</creatorcontrib><creatorcontrib>Danicic, Ashley E.</creatorcontrib><creatorcontrib>Salgado, Javier</creatorcontrib><creatorcontrib>Watson, Andrew R.</creatorcontrib><creatorcontrib>Celebrezze, James P.</creatorcontrib><creatorcontrib>Medich, David S.</creatorcontrib><creatorcontrib>Holder-Murray, Jennifer</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>Journal of gastrointestinal surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guardado, Jesse</au><au>Carchman, Evie</au><au>Danicic, Ashley E.</au><au>Salgado, Javier</au><au>Watson, Andrew R.</au><au>Celebrezze, James P.</au><au>Medich, David S.</au><au>Holder-Murray, Jennifer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obesity Does Not Impact Perioperative or Postoperative Outcomes in Patients with Inflammatory Bowel Disease</atitle><jtitle>Journal of gastrointestinal surgery</jtitle><stitle>J Gastrointest Surg</stitle><addtitle>J Gastrointest Surg</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>20</volume><issue>4</issue><spage>725</spage><epage>733</epage><pages>725-733</pages><issn>1091-255X</issn><eissn>1873-4626</eissn><abstract>Background
While the prevalence of obesity in IBD patients is rapidly increasing, it is unclear if obesity impacts surgical outcomes in this population. We aim to investigate the effects of BMI on perioperative and postoperative outcomes in IBD patients by stratifying patients into BMI groups and comparing outcomes between these groups.
Methods
This is a retrospective cohort study where IBD patients who underwent intestinal surgeries between the years of 2000 to 2014 were identified. The patients were divided into groups based on BMI: underweight (BMI <18.5), normal weight (BMI 18.5–24.9), overweight (BMI 25–29.9), and obese (BMI ≥30). Preoperative patient demographics, operative variables, and postoperative complications were collected and compared between BMI groups.
Results
A total of 391 surgeries were reviewed (34 underweight, 187 normal weight, 105 overweight, and 65 obese) from 325 patients. No differences were observed in preoperative patient demographics, type of IBD, preoperative steroid or biologic mediator use, or mean laboratory values. No differences were observed in percent operative procedures with anastomosis, surgeries converted to open, estimated blood loss, intraoperative complications, and median operative time. Thirty-day postoperative complication rates including total complications, wound infection, or anastomotic leak were similar between groups. There was a statistically significant increased postoperative bleeding risk (
p
= 0.029) in underweight patients. The relative percent for increased postoperative bleeding risk between BMI groups was as follows: 2.9 % in underweight, zero in normal weight, 2.9 % in overweight, and zero in obese.
Conclusion
Obesity does not appear to impact intraoperative variables nor does obesity appear to worsen postoperative complication rates in IBD patients.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>26696530</pmid><doi>10.1007/s11605-015-3060-4</doi><tpages>9</tpages></addata></record> |
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| ispartof | Journal of gastrointestinal surgery, 2016-04, Vol.20 (4), p.725-733 |
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| subjects | Adult Body Mass Index Female Gastroenterology Humans Ideal Body Weight Inflammatory bowel disease Inflammatory Bowel Diseases - surgery Intraoperative Complications Male Medicine Medicine & Public Health Middle Aged Obesity - complications Operative Time Original Article Overweight - complications Postoperative Complications Postoperative Period Retrospective Studies Surgery Thinness - complications |
| title | Obesity Does Not Impact Perioperative or Postoperative Outcomes in Patients with Inflammatory Bowel Disease |
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