Abdominal hypertension and venous insufficiency of lower limbs: is there a relationship?
| Autor: | Parmeggiani, D., Apperti, M., Pascale, V., Avenia, N., Ambrosino, P., Madonna, I., Peltrini, R., Apperti, S., Adelmo Gubitosi, Parmeggiani, U. |
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| Přispěvatelé: | Parmeggiani, Domenico, Apperti, M, De Pascale, V, Avenia, N, Ambrosino, P, Madonna, I, Peltrini, R, Apperti, S, Gubitosi, Adelmo, Parmeggiani, U., Parmeggiani, D., Apperti, M., De Pascale, V., Avenia, N., Ambrosino, P., Madonna, I., Peltrini, R., Apperti, S., Gubitosi, A. |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Scopus-Elsevier Web of Science Pasquale Ambrosino |
| Popis: | OBJECTIVE: The purpose of our study is to understand the compression, by subcutaneous fat in obese patients, who present a chronic increase in abdominal pressure, and on the sapheno-femoral cross. Such increase would result in a chronic venous insufficiency (CVI) of lower limbs and, if possible, it will be quantified also according to the posture. MATERIAL AND METHODS: We studied two different groups of patients with CVI: obese and non-obese. The severity of CVI was classified with the CEAP classification or by the standards of recent classifications. Abdominal pressure, by means of Kron's method, and anterior-sagittal diameter were measured in some of the non-obese patients (4 males and 4 females) and in all the obese patients. The diameter of the femoral vein of both groups of patients in supine, sitting and standing positions was also measured. RESULTS: We found a higher incidence of CEAP 5-6 classes in the obese group than in the non-obese one; we also saw a higher incidence of classes 1-2 in the non-obese group than in the obese one. Moreover, Kron's method showed a significant difference in abdominal pressure in relation to the BMI and the increase in the femoral vein diameter appears to be related to the weight and to the position. DISCUSSION: It was clear that the clinical manifestations of CVI are more severe in obese than in non-obese patients. Obesity in our study clearly acts with a continuous compressive action on the veins of the abdomen and thereby on the femoral vein, further contributing to a retrograde flow. So we tried to quantify an entity that until now could only be assumed. |
| Databáze: | OpenAIRE |
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