High visceral to subcutaneous fat area ratio predicts early postoperative small bowel obstruction after surgery for colorectal cancer

Purpose Risks for postoperative small bowel obstruction have been demonstrated in several reports, most of which indicated male sex was a risk factor, but with the reason remaining unknown. We tested the hypothesis that it could be because males have more visceral fat than females. This prospective...

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Bibliographic Details
Published in:Langenbeck's archives of surgery 2022-08, Vol.407 (5), p.2021-2026
Main Authors: Nakamura, Yuki, Matsuda, Kenji, Yokoyama, Shozo, Iwamoto, Hiromitsu, Mizumoto, Yuki, Mitani, Yasuyuki, Oku, Yoshimasa, Yamaue, Hiroki
Format: Article
Language:English
Subjects:
Abdominal Surgery
Cardiac Surgery
General Surgery
Medicine
Medicine & Public Health
Original Article
Thoracic Surgery
Traumatic Surgery
Vascular Surgery
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Summary:Purpose Risks for postoperative small bowel obstruction have been demonstrated in several reports, most of which indicated male sex was a risk factor, but with the reason remaining unknown. We tested the hypothesis that it could be because males have more visceral fat than females. This prospective observational study aims to examine risks of early postoperative small bowel obstruction (EPSBO) after colorectal cancer surgery and the association between visceral to subcutaneous fat area ratio (V/S ratio) and EPSBO. Methods Four hundred and seventy-four patients who underwent colectomy for colorectal cancer in our hospital were enrolled in this study. The influence of several factors including V/S ratio on the development of EPSBO was analyzed. Results Thirty-one of the 474 patients (6.5%) developed EPSBO. EPSBO occurred more frequently in males ( p  = 0.03) and cases who developed postoperative anastomotic leakage ( p  
ISSN:1435-2451
1435-2451
DOI:10.1007/s00423-022-02518-4