The Effect of Body Mass Index on the Creation of an End-Colostomy in Rectal Cancer Patients

2021 ◽  
pp. 000313482110474
Author(s):  
Arthur D. Grimes ◽  
Kenneth E. Stewart ◽  
Katherine T. Morris ◽  
Gary D. Dunn ◽  
Kristina K. Booth ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Body Mass ◽  
Severe Obesity ◽  
Reference Group ◽  
Weight Loss Surgery ◽  
Primary Anastomosis ◽  
Improvement Project ◽  
End Colostomy ◽  
Medical Weight Management

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.

scholarly journals Social inequalities and trends in pre-pregnancy body mass index in Swedish women

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Christina E. Lundberg ◽  
Maria Ryd ◽  
Martin Adiels ◽  
Annika Rosengren ◽  
Lena Björck
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Social Inequalities ◽  
Severe Obesity ◽  
Geographical Location ◽  
Overweight And Obesity ◽  
Global Trends ◽  
Medical Birth Register ◽  
Education Levels ◽  
Swedish Medical

AbstractObesity rates in adolescence and young adulthood have increased in Sweden, reflecting global trends. To which extent this occurs across different socioeconomic strata has not been clarified. The aim of the present study was to investigate trends in social inequalities in body mass index (BMI) in young/mid-adulthood Swedish women. We obtained weight and height for all women aged 20–45 years, at their first registered pregnancy (< 12 weeks of gestation) in the Swedish Medical Birth Register 1982–2013 (1,022,330, mean age = 28.8 years), documenting education and county of residence. Trends in mean BMI and in the prevalence of BMI categories between 1982 and 2013 were estimated across education levels and geographical location. Overall, mean BMI increased from 22.7 kg/m2 (SD 3.2) to 24.3 kg/m2 (SD 4.4) between 1982 and 2013. Simultaneously, the prevalence of overweight and obesity (BMI ≥ 25 kg/m2) increased from 18.1 to 33.4% while that of moderate obesity (BMI ≥ 30 to < 35 kg/m2) and severe obesity (BMI ≥ 35 kg/m2) increased markedly from 3.4 and 0.4% to 7.4 and 3.1%, respectively. The prevalence of moderate and severe obesity more than doubled during the study period across all educational levels. In conclusion, BMI and moderate and severe obesity increased markedly among young/mid-adulthood Swedish women regardless of education with a widening gap between those with lower and higher education. These growing social inequalities in BMI are likely to cause a rising divide in serious health problems following early and long-lasting obesity.

The effect of increased body mass index values on surgical outcomes after radical resection for low rectal cancer

Surgery Today ◽  
2019 ◽  
Vol 49 (5) ◽  
pp. 401-409 ◽  
Author(s):  
Xubing Zhang ◽  
Qingbin Wu ◽  
Chaoyang Gu ◽  
Tao Hu ◽  
Liang Bi ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Body Mass ◽  
Surgical Outcomes ◽  
Radical Resection ◽  
Low Rectal Cancer

The Effect of Body Mass Index on Lung Volumes in Severe Obesity

2019 ◽  
Author(s):  
J. Meurling ◽  
R. Anglin ◽  
L. Howlin ◽  
E. O' Malley ◽  
C. Dunlevy ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Severe Obesity ◽  
Lung Volumes

scholarly journals Ultimate Stomaless Technique of Two-Stage Operation for Lower Rectal Cancer Performed on a Patient with a High Body Mass Index: The Reborn Operation (Novel Pull-Through Method)

2020 ◽  
Vol 14 (1) ◽  
pp. 248-254 ◽  
Author(s):  
Toshikatsu Nitta ◽  
Keitaro Tanaka ◽  
Jun Kataoka ◽  
Masato Ohta ◽  
Masatsugu Ishii ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Body Mass ◽  
Near Infrared ◽  
Coloanal Anastomosis ◽  
High Body Mass Index ◽  
Infrared Light ◽  
Lower Rectal Cancer ◽  
High Body ◽  
Pull Through

A 58-year-old Japanese man, with a body mass index of 41.7 kg/m2 (height: 179.8 cm; weight: 133.8 kg), underwent a laparoscopic pull-through procedure with delayed coloanal anastomosis performed in two surgical stages for lower rectal cancer. This method was selected because the volume of the abdominal wall was fairly thick and it would have been impossible to perform diverting ileostomy and colostomy, which are routinely conducted. First, a colonic pull-through segment of about 10 cm was left outside the anal canal without any tension and was fixed by sutures under indocyanine green fluorescence imaging (ICG FI). The second surgical stage was performed 10 days after the first operation under general anesthesia. Final coloanal anastomosis was performed with near-infrared light without diverting the stoma under ICG FI. The patient demonstrated a good postoperative course and was discharged from our hospital in remission 15 days after the latest operation. We could inspect the coloanal flow of the anastomosis under ICG FI before the reconstruction. This procedure was considered to be a standard method, but it was overtaken by new technology, ICG FI. This procedure is an ultimate stomaless surgery for ultralow rectal cancer that can be performed in selected cases, such as in patients with a high body mass index and with hope for stomaless operation.

The Impact of Body Mass Index on the Surgical Outcomes in Open Rectal Cancer Surgery

2016 ◽  
Vol 14 (10) ◽  
pp. 1-5
Author(s):  
Ali Solmaz ◽  
Osman Gülçiçek ◽  
Elif Binboğa ◽  
Aytaç Biricik ◽  
Candaş Erçetin ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Body Mass ◽  
Surgical Outcomes ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
The Impact

Body mass index and risk of colon and rectal cancer stratified by tumor location and sex

2004 ◽  
Vol 14 (8) ◽  
pp. 592-593
Author(s):  
P.T. Campbell ◽  
M. Manno ◽  
J.R. McLaughlin ◽  
M. Cotterchio ◽  
N. Klar ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Body Mass ◽  
Tumor Location ◽  
Colon And Rectal Cancer
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