| Autor: |
Grimes, Arthur D., Stewart, Kenneth E., Morris, Katherine T., Dunn, Gary D., Booth, Kristina K., Carter, Steven N., Garwe, Tabitha, Sarwar, Zoona, Fischer, Laura E. |
| Zdroj: |
The American Surgeon; November 2023, Vol. 89 Issue: 11 p4940-4943, 4p |
| Abstrakt: |
With the increasing prevalence of obesity, there has been a parallel increase in the incidence of rectal cancer. The association of body mass index (BMI) and end-colostomy creation versus primary anastomosis in patients undergoing proctectomy for rectal cancer has not been described. This is a retrospective study of patients with rectal cancer from 2012 to 2018 using data from the National Surgical Quality Improvement Project. 16,446 (92.1%) underwent primary anastomosis and 1,418 (7.9%) underwent creation of an end-colostomy. Patients with a BMI of 25-29.9 (overweight) comprised the most frequent group to have a proctectomy (reference group), but the least likely to have an end-colostomy. Patients with severe obesity (BMI 50+) had an adjusted odds ratio for end-colostomy of 2.7 (95% CI 1.5-4.7) compared to the reference group. Patients who have severe obesity should be counseled regarding the likelihood of an end-colostomy and may benefit from medical weight management or weight-loss surgery. |
| Databáze: |
Supplemental Index |
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