The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review
Today, the prevalence of obesity in the pediatric population has increased dramatically. Acute appendicitis (AA) is the most common surgical condition among pediatric patients. We aimed to investigate the impact of obesity on postoperative outcomes in terms of operative time (OT), length of stay (LO...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/14/4811 |
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| author | Nikolaos Zavras Natalia Vaou Sofia Zouganeli Arezina Kasti Papakonstantinou Dimitrios George Vaos |
| author_facet | Nikolaos Zavras Natalia Vaou Sofia Zouganeli Arezina Kasti Papakonstantinou Dimitrios George Vaos |
| author_sort | Nikolaos Zavras |
| collection | DOAJ |
| description | Today, the prevalence of obesity in the pediatric population has increased dramatically. Acute appendicitis (AA) is the most common surgical condition among pediatric patients. We aimed to investigate the impact of obesity on postoperative outcomes in terms of operative time (OT), length of stay (LOS), surgical site infection (SSI), overall complications, adverse events, and mortality in children undergoing appendectomy for acute appendicitis. An extensive search of the literature in PubMed and Google Scholar was conducted to evaluate the outcomes of normal weight (NW), overweight (OW), and obese (OB) children who underwent appendectomy. Although no statistically significant differences were noted in perioperative outcomes and overall postoperative complications between OW/OB and NW children in the majority of the included studies, prolonged OT and LOS and SSI were found in some studies. Moreover, no differences in terms of readmissions and ED visits were recorded. We conclude that the impact of obesity on postoperative outcomes for children undergoing appendectomy for AA is unclear, and, therefore, no safe conclusions can be drawn with the currently available data. Due to the lack of high-quality studies, further research is required to optimize the surgical approach and prevent unwarranted complications. |
| first_indexed | 2024-03-11T00:57:34Z |
| format | Article |
| id | doaj.art-3b611a7cdbb34ba988a07877b8e6cad0 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T00:57:34Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-3b611a7cdbb34ba988a07877b8e6cad02023-11-18T19:54:20ZengMDPI AGJournal of Clinical Medicine2077-03832023-07-011214481110.3390/jcm12144811The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic ReviewNikolaos Zavras0Natalia Vaou1Sofia Zouganeli2Arezina Kasti3Papakonstantinou Dimitrios4George Vaos5Department of Pediatric Surgery, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, 12462 Athens, GreeceDepartment of Nutrition and Dietetics, Attikon University General Hospital, 12462 Athens, GreeceDepartment of Nutrition and Dietetics, Attikon University General Hospital, 12462 Athens, GreeceDepartment of Nutrition and Dietetics, Attikon University General Hospital, 12462 Athens, GreeceThird Department of Surgery, Attikon University General Hospital, 12462 Athens, GreeceDepartment of Pediatric Surgery, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, 12462 Athens, GreeceToday, the prevalence of obesity in the pediatric population has increased dramatically. Acute appendicitis (AA) is the most common surgical condition among pediatric patients. We aimed to investigate the impact of obesity on postoperative outcomes in terms of operative time (OT), length of stay (LOS), surgical site infection (SSI), overall complications, adverse events, and mortality in children undergoing appendectomy for acute appendicitis. An extensive search of the literature in PubMed and Google Scholar was conducted to evaluate the outcomes of normal weight (NW), overweight (OW), and obese (OB) children who underwent appendectomy. Although no statistically significant differences were noted in perioperative outcomes and overall postoperative complications between OW/OB and NW children in the majority of the included studies, prolonged OT and LOS and SSI were found in some studies. Moreover, no differences in terms of readmissions and ED visits were recorded. We conclude that the impact of obesity on postoperative outcomes for children undergoing appendectomy for AA is unclear, and, therefore, no safe conclusions can be drawn with the currently available data. Due to the lack of high-quality studies, further research is required to optimize the surgical approach and prevent unwarranted complications.https://www.mdpi.com/2077-0383/12/14/4811childrenobesityacute appendicitisappendectomyperioperative outcomespostoperative complications |
| spellingShingle | Nikolaos Zavras Natalia Vaou Sofia Zouganeli Arezina Kasti Papakonstantinou Dimitrios George Vaos The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review Journal of Clinical Medicine children obesity acute appendicitis appendectomy perioperative outcomes postoperative complications |
| title | The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review |
| title_full | The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review |
| title_fullStr | The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review |
| title_full_unstemmed | The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review |
| title_short | The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review |
| title_sort | impact of obesity on perioperative outcomes for children undergoing appendectomy for acute appendicitis a systematic review |
| topic | children obesity acute appendicitis appendectomy perioperative outcomes postoperative complications |
| url | https://www.mdpi.com/2077-0383/12/14/4811 |
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