Computed Tomography Assessment of Fat Distribution and Staple-Line Leak Risk After Sleeve Gastrectomy.
Bariatric surgery
Intra-abdominal fat
Obesity
Sleeve gastrectomy
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
09
10
2020
accepted:
29
12
2020
revised:
22
12
2020
pubmed:
8
1
2021
medline:
20
4
2021
entrez:
7
1
2021
Statut:
ppublish
Résumé
Sleeve gastrectomy (SG) has become the most frequent bariatric procedure and staple-line leak represents its most feared complication. Visceral obesity, a core component of the metabolic syndrome, has been associated with worst postoperative outcomes after various abdominal surgical procedures, and can be estimated by computed tomography (CT). The aim of this study was to assess the impact of radiologically determined visceral obesity in the risk of staple-line leak after SG. A retrospective analysis of a prospective database was performed in consecutive patients undergoing SG. Several anthropometric variables were measured on a preoperative CT scan. Multivariate analysis was performed to determine preoperative risk factors for staple-line leak. During the study period, 377 patients were included in the analysis. The median BMI was 39.7 kg/m CT scan-assessed visceral obesity defined by a VFA/BSA ratio ≥ 85 cm
Identifiants
pubmed: 33409967
doi: 10.1007/s11695-020-05199-4
pii: 10.1007/s11695-020-05199-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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