Waist Circumference Predicts Increased Complications in Rectal Cancer Surgery

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

Research output: Contribution to journalArticle

23 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1669-1679
Number of pages11
JournalJournal of Gastrointestinal Surgery
Volume14
Issue number11
DOIs
StatePublished - Sep 13 2010
Externally publishedYes

Fingerprint

Waist Circumference
Rectal Neoplasms
Body Mass Index
Abdominal Obesity
Obesity
Infection Control
Infection
Reoperation
Adenoma
Fats
Databases
Carcinoma
Neoplasms

Keywords

  • Complications
  • Obesity
  • Rectal cancer

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Cite this

Balentine, C. J., Robinson, C. N., Marshall, C. R., Wilks, J., Buitrago, W., Haderxhanaj, K., ... Berger, D. H. (2010). Waist Circumference Predicts Increased Complications in Rectal Cancer Surgery. Journal of Gastrointestinal Surgery, 14(11), 1669-1679. https://doi.org/10.1007/s11605-010-1343-3

Waist Circumference Predicts Increased Complications in Rectal Cancer Surgery. / Balentine, Courtney J.; Robinson, Celia N.; Marshall, Christy R.; Wilks, Jonathan; Buitrago, William; Haderxhanaj, Kujtim; Sansgiry, Shubhada; Petersen, Nancy J.; Bansal, Vivek; Albo, Daniel; Berger, David H.

In: Journal of Gastrointestinal Surgery, Vol. 14, No. 11, 13.09.2010, p. 1669-1679.

Research output: Contribution to journalArticle

Balentine, CJ, Robinson, CN, Marshall, CR, Wilks, J, Buitrago, W, Haderxhanaj, K, Sansgiry, S, Petersen, NJ, Bansal, V, Albo, D & Berger, DH 2010, 'Waist Circumference Predicts Increased Complications in Rectal Cancer Surgery', Journal of Gastrointestinal Surgery, vol. 14, no. 11, pp. 1669-1679. https://doi.org/10.1007/s11605-010-1343-3
Balentine, Courtney J. ; Robinson, Celia N. ; Marshall, Christy R. ; Wilks, Jonathan ; Buitrago, William ; Haderxhanaj, Kujtim ; Sansgiry, Shubhada ; Petersen, Nancy J. ; Bansal, Vivek ; Albo, Daniel ; Berger, David H. / Waist Circumference Predicts Increased Complications in Rectal Cancer Surgery. In: Journal of Gastrointestinal Surgery. 2010 ; Vol. 14, No. 11. pp. 1669-1679.
@article{fe475e36375f4945934cfeac58ca98e7,
title = "Waist Circumference Predicts Increased Complications in Rectal Cancer Surgery",
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.",
keywords = "Complications, Obesity, Rectal cancer",
author = "Balentine, {Courtney J.} and Robinson, {Celia N.} and Marshall, {Christy R.} and Jonathan Wilks and William Buitrago and Kujtim Haderxhanaj and Shubhada Sansgiry and Petersen, {Nancy J.} and Vivek Bansal and Daniel Albo and Berger, {David H.}",
year = "2010",
month = "9",
day = "13",
doi = "10.1007/s11605-010-1343-3",
language = "English (US)",
volume = "14",
pages = "1669--1679",
journal = "Journal of Gastrointestinal Surgery",
issn = "1091-255X",
publisher = "Springer New York",
number = "11",

}

TY - JOUR

T1 - Waist Circumference Predicts Increased Complications in Rectal Cancer Surgery

AU - Balentine, Courtney J.

AU - Robinson, Celia N.

AU - Marshall, Christy R.

AU - Wilks, Jonathan

AU - Buitrago, William

AU - Haderxhanaj, Kujtim

AU - Sansgiry, Shubhada

AU - Petersen, Nancy J.

AU - Bansal, Vivek

AU - Albo, Daniel

AU - Berger, David H.

PY - 2010/9/13

Y1 - 2010/9/13

N2 - 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.

AB - 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.

KW - Complications

KW - Obesity

KW - Rectal cancer

UR - http://www.scopus.com/inward/record.url?scp=77958476722&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77958476722&partnerID=8YFLogxK

U2 - 10.1007/s11605-010-1343-3

DO - 10.1007/s11605-010-1343-3

M3 - Article

C2 - 20835770

AN - SCOPUS:77958476722

VL - 14

SP - 1669

EP - 1679

JO - Journal of Gastrointestinal Surgery

JF - Journal of Gastrointestinal Surgery

SN - 1091-255X

IS - 11

ER -