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01-11-2010 | 2010 SSAT Plenary Presentation

Waist Circumference Predicts Increased Complications in Rectal Cancer Surgery

Authors: Courtney J. Balentine, Celia N. Robinson, Christy R. Marshall, Jonathan Wilks, William Buitrago, Kujtim Haderxhanaj, Shubhada Sansgiry, Nancy J. Petersen, Vivek Bansal, Daniel Albo, David H. Berger

Published in: Journal of Gastrointestinal Surgery | Issue 11/2010

Abstract

Background

The impact of obesity on development of postoperative complications after gastrointestinal surgery remains controversial. This may be due to the fact that obesity has been calculated by body mass index, a measure that does not account for fat distribution. We hypothesized that waist circumference, a measure of central obesity, would better predict complications after high-risk gastrointestinal procedures.

Methods

Retrospective review of an institutional cancer database identified consecutive cases of men undergoing elective rectal resections. Waist circumference was calculated from preoperative imaging.

Results

From 2002 to 2009, 152 patients with mean age 65.2 ± 0.75 years and body mass index 28.0 ± 0.43 kg/m² underwent elective resection of rectal adenoma or carcinoma. Increasing body mass index was not significantly associated with risk of postoperative complications including infection, dehiscence, and reoperation. Greater waist circumference independently predicted increased risk of superficial infections (OR 1.98, 95% CI 1.19–3.30, p < 0.008) and a significantly greater risk of having one or more postoperative complications (OR 1.56, 95% CI 1.04–2.34, p < 0.034).

Conclusions

Waist circumference, a measure of central obesity, is a better predictor of short-term complications than body mass index and can be used to identify patients who may benefit from more aggressive infection control and prevention.

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Title: Waist Circumference Predicts Increased Complications in Rectal Cancer Surgery
Authors: Courtney J. Balentine
Celia N. Robinson
Christy R. Marshall
Jonathan Wilks
William Buitrago
Kujtim Haderxhanaj
Shubhada Sansgiry
Nancy J. Petersen
Vivek Bansal
Daniel Albo
David H. Berger
Publication date: 01-11-2010
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 11/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-010-1343-3

At a glance: The STEP trials

Springer Medicine

Waist Circumference Predicts Increased Complications in Rectal Cancer Surgery

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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