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01-04-2014 | Gastrointestinal Oncology

A Body Shape Index Has a Good Correlation with Postoperative Complications in Gastric Cancer Surgery

Authors: Bang Wool Eom, MD, Jungnam Joo, PhD, Hong Man Yoon, MD, Keun Won Ryu, MD, PhD, Young-Woo Kim, MD, PhD, Jun Ho Lee, MD, PhD

Published in: Annals of Surgical Oncology | Issue 4/2014

Abstract

Background

The relationship between obesity and surgical complications has been controversial. A Body Shape Index (ABSI) is a newly developed anthropometric index based on waist circumference adjusted for height and weight. The aim of this study was to investigate the relationship between ABSI and surgical complications.

Methods

From November 2001 to September 2012, 4,813 patients underwent curative resection for gastric cancer. ABSI was defined as waist circumference divided by (BMI^2/3height^1/2). Data of clinicopathologic characteristics and morbidity were collected by retrospective review. Binary logistic regression was used for multivariable analyses to determine whether ABSI was independently associated with postoperative complications.

Results

The incidence of overall surgical complications was 13.4 %, and the most common complication was ileus (2.8 %). In the multivariable analysis, ABSI was an independent factor for overall complications [odds ratio (OR), 1.22; 95 % confidence interval (CI) 1.01–1.48; P = 0.041). However, BMI showed no statistical significance (OR, 1.03; 95 % CI 1.00–1.06; P = 0.063). In the subgroup analyses, ABSI was significantly associated with overall complications regarding open gastrectomy (OR, 1.26; 95 % CI 1.01–1.57; P = 0.039). Regarding laparoscopy-assisted gastrectomy, ABSI had no significant effect on overall complications (P = 0.844).

Conclusions

ABSI shows good correlation with surgical complications in patients with gastric cancer. Further studies are needed for the various clinical roles of ABSI, and the results could be helpful to determine the effect of abdominal obesity on gastric cancer surgery and the clinical usefulness of ABSI.

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Title: A Body Shape Index Has a Good Correlation with Postoperative Complications in Gastric Cancer Surgery
Authors: Bang Wool Eom, MD
Jungnam Joo, PhD
Hong Man Yoon, MD
Keun Won Ryu, MD, PhD
Young-Woo Kim, MD, PhD
Jun Ho Lee, MD, PhD
Publication date: 01-04-2014
Publisher: Springer US
Published in: Annals of Surgical Oncology / Issue 4/2014
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-013-3409-4

2024 ASCO Annual Meeting

Springer Medicine

A Body Shape Index Has a Good Correlation with Postoperative Complications in Gastric Cancer Surgery

Abstract

Background

Methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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