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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 3/2016

01-03-2016 | Original Article

Postoperative Changes in Body Composition After Pancreaticoduodenectomy Using Multifrequency Bioelectrical Impedance Analysis

Authors: Manabu Mikamori, Atsushi Miyamoto, Tadafumi Asaoka, Sakae Maeda, Naoki Hama, Kazuyoshi Yamamoto, Motohiro Hirao, Masataka Ikeda, Mitsugu Sekimoto, Yuichiro Doki, Masaki Mori, Shoji Nakamori

Published in: Journal of Gastrointestinal Surgery | Issue 3/2016

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Abstract

Background

Nutritional status is one of the most important clinical determinants of outcome after surgery. The aim of this study was to compare changes in the body composition of patients undergoing pancreaticoduodenectomy (PD), distal gastrectomy (DG), or total gastrectomy (TG).

Methods

The parameters of body composition were measured using multifrequency bioelectrical impedance analysis with an inBody 720 (Biospace Inc. Tokyo. Japan) in 60 patients who had undergone PD (n = 18), DG (n = 30), or TG (n = 12). None of the patients had recurrence or were treated with chemotherapy. Changes between the preoperative data and results and those obtained 12 months after surgery were evaluated.

Results

Twelve months after surgery, the body weight change in the PD group was significantly lower than in the TG and DG groups (−1.2 ± 3.8 vs −7.4 ± 4.4 and −4.0 ± 3.2 kg, respectively; p < 0.01 vs TG, p < 0.05 vs DG). The body weight change correlated with the fat mass change in all groups.

Conclusions

The type and extent of surgery has a different effect on long-term body weight and body composition. Bioelectric impedance analysis can be used to assess body composition and may be useful for nutritional assessment in patients who have undergone these surgeries.
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Metadata
Title
Postoperative Changes in Body Composition After Pancreaticoduodenectomy Using Multifrequency Bioelectrical Impedance Analysis
Authors
Manabu Mikamori
Atsushi Miyamoto
Tadafumi Asaoka
Sakae Maeda
Naoki Hama
Kazuyoshi Yamamoto
Motohiro Hirao
Masataka Ikeda
Mitsugu Sekimoto
Yuichiro Doki
Masaki Mori
Shoji Nakamori
Publication date
01-03-2016
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 3/2016
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-015-3055-1

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