Systematic review and meta-analysis: association between obesity/overweight and surgical complications in IBD

Purpose While the prevalence of obesity in inflammatory bowel disease (IBD) patients is rapidly increasing, it is unclear whether obesity affects surgical outcomes in this population. This meta-analysis aims to assess the impact of obesity/overweight on patients undergoing surgery for IBD. Methods D...

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Bibliographic Details
Published in:International journal of colorectal disease 2022-07, Vol.37 (7), p.1485-1496
Main Authors: Jiang, Ke, Chen, Bangsheng, Lou, Dandi, Zhang, Mengting, Shi, Yetan, Dai, Wei, Shen, Jingyi, Zhou, Bin, Hu, Jinxing
Format: Article
Language:English
Subjects:
Analysis
Body mass index
Body weight
Care and treatment
Complications and side effects
Gastroenterology
Gastrointestinal diseases
Hepatology
Inflammatory bowel disease
Inflammatory bowel diseases
Internal Medicine
Laparotomy
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Meta-analysis
Obesity
Overweight
Patients
Proctology
Review
Risk factors
Sepsis
Surgery
Surgical outcomes
Wounds
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Summary:Purpose While the prevalence of obesity in inflammatory bowel disease (IBD) patients is rapidly increasing, it is unclear whether obesity affects surgical outcomes in this population. This meta-analysis aims to assess the impact of obesity/overweight on patients undergoing surgery for IBD. Methods Databases (PubMed, Web of Science, Cochrane Library, and Springer) were searched through September 2021. The meta-analysis included patients with surgically treated IBD to investigate the impact of obesity/overweight on this population. Primary outcomes included overall complications, infectious complications, noninfectious complications, and conversion to laparotomy. Results Fifteen studies totaling 12,622 IBD patients were enrolled. Compared with nonobese (including overweight) patients, obese IBD patients have increased the risk in terms of overall complications (OR = 1.45, p  
ISSN:1432-1262
0179-1958
1432-1262
DOI:10.1007/s00384-022-04190-y