Risk Factors for Postoperative Paralytic Ileus in Advanced-age Patients after Laparoscopic Colorectal Surgery: A Retrospective Study of 124 Consecutive Patients
Objectives: Postoperative paralytic ileus (POI) is one of the most common and troublesome complications following colorectal surgery. However, to date, the risk factors for POI remain unclear. This study aimed to identify the risk factors for POI following laparoscopic colorectal surgery in advanced...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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The Japan Society of Coloproctology
2023-01-01
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| Series: | Journal of the Anus, Rectum and Colon |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jarc/7/1/7_2022-044/_pdf/-char/en |
| _version_ | 1797943233108508672 |
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| author | Takaaki Fujimoto Tatsuya Manabe Kumpei Yukimoto Yasuhiro Tsuru Hiroshi Kitagawa Keiichiro Okuyama Shin Takesue Keita Kai Hirokazu Noshiro |
| author_facet | Takaaki Fujimoto Tatsuya Manabe Kumpei Yukimoto Yasuhiro Tsuru Hiroshi Kitagawa Keiichiro Okuyama Shin Takesue Keita Kai Hirokazu Noshiro |
| author_sort | Takaaki Fujimoto |
| collection | DOAJ |
| description | Objectives: Postoperative paralytic ileus (POI) is one of the most common and troublesome complications following colorectal surgery. However, to date, the risk factors for POI remain unclear. This study aimed to identify the risk factors for POI following laparoscopic colorectal surgery in advanced-age patients.
Methods: The clinical data of 124 patients aged 75 years who underwent curative colorectal surgery from January 2018 to December 2020 were retrospectively reviewed. The relationship between POI and clinicopathological data including sarcopenia and visceral fat obesity was then assessed. Sarcopenia was defined as a low skeletal muscle mass index; visceral obesity, visceral fat with an area 100 cm2 on computed tomography at the level of the third lumbar vertebra; and sarcobesity, sarcopenia with visceral obesity.
Results: The rate of POI was 9% (12/124 patients), and all the affected patients improved with conservative treatment. In the univariate and multivariate analyses, sarcopenia and sarcobesity were significant predictive factors for POI.
Conclusions: Sarcopenia and sarcobesity may be risk factors for POI in patients aged 75 years after laparoscopic colorectal surgery. |
| first_indexed | 2024-04-10T20:21:01Z |
| format | Article |
| id | doaj.art-6cdac763f2fb4d81976e13fb1e09d27f |
| institution | Directory Open Access Journal |
| issn | 2432-3853 |
| language | English |
| last_indexed | 2024-04-10T20:21:01Z |
| publishDate | 2023-01-01 |
| publisher | The Japan Society of Coloproctology |
| record_format | Article |
| series | Journal of the Anus, Rectum and Colon |
| spelling | doaj.art-6cdac763f2fb4d81976e13fb1e09d27f2023-01-26T01:10:19ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532023-01-0171303710.23922/jarc.2022-0442022-044Risk Factors for Postoperative Paralytic Ileus in Advanced-age Patients after Laparoscopic Colorectal Surgery: A Retrospective Study of 124 Consecutive PatientsTakaaki Fujimoto0Tatsuya Manabe1Kumpei Yukimoto2Yasuhiro Tsuru3Hiroshi Kitagawa4Keiichiro Okuyama5Shin Takesue6Keita Kai7Hirokazu Noshiro8Department of Surgery, Saga University Faculty of MedicineDepartment of Surgery, Saga University Faculty of MedicineDepartment of Surgery, Saga University Faculty of MedicineDepartment of Surgery, Saga University Faculty of MedicineDepartment of Surgery, Saga University Faculty of MedicineDepartment of Surgery, Saga University Faculty of MedicineDepartment of Surgery, Saga University Faculty of MedicineDepartment of Pathology, Saga University HospitalDepartment of Surgery, Saga University Faculty of MedicineObjectives: Postoperative paralytic ileus (POI) is one of the most common and troublesome complications following colorectal surgery. However, to date, the risk factors for POI remain unclear. This study aimed to identify the risk factors for POI following laparoscopic colorectal surgery in advanced-age patients. Methods: The clinical data of 124 patients aged 75 years who underwent curative colorectal surgery from January 2018 to December 2020 were retrospectively reviewed. The relationship between POI and clinicopathological data including sarcopenia and visceral fat obesity was then assessed. Sarcopenia was defined as a low skeletal muscle mass index; visceral obesity, visceral fat with an area 100 cm2 on computed tomography at the level of the third lumbar vertebra; and sarcobesity, sarcopenia with visceral obesity. Results: The rate of POI was 9% (12/124 patients), and all the affected patients improved with conservative treatment. In the univariate and multivariate analyses, sarcopenia and sarcobesity were significant predictive factors for POI. Conclusions: Sarcopenia and sarcobesity may be risk factors for POI in patients aged 75 years after laparoscopic colorectal surgery.https://www.jstage.jst.go.jp/article/jarc/7/1/7_2022-044/_pdf/-char/encolorectal surgerylaparoscopicpostoperative paralytic ileussarcopeniaadvanced-age |
| spellingShingle | Takaaki Fujimoto Tatsuya Manabe Kumpei Yukimoto Yasuhiro Tsuru Hiroshi Kitagawa Keiichiro Okuyama Shin Takesue Keita Kai Hirokazu Noshiro Risk Factors for Postoperative Paralytic Ileus in Advanced-age Patients after Laparoscopic Colorectal Surgery: A Retrospective Study of 124 Consecutive Patients Journal of the Anus, Rectum and Colon colorectal surgery laparoscopic postoperative paralytic ileus sarcopenia advanced-age |
| title | Risk Factors for Postoperative Paralytic Ileus in Advanced-age Patients after Laparoscopic Colorectal Surgery: A Retrospective Study of 124 Consecutive Patients |
| title_full | Risk Factors for Postoperative Paralytic Ileus in Advanced-age Patients after Laparoscopic Colorectal Surgery: A Retrospective Study of 124 Consecutive Patients |
| title_fullStr | Risk Factors for Postoperative Paralytic Ileus in Advanced-age Patients after Laparoscopic Colorectal Surgery: A Retrospective Study of 124 Consecutive Patients |
| title_full_unstemmed | Risk Factors for Postoperative Paralytic Ileus in Advanced-age Patients after Laparoscopic Colorectal Surgery: A Retrospective Study of 124 Consecutive Patients |
| title_short | Risk Factors for Postoperative Paralytic Ileus in Advanced-age Patients after Laparoscopic Colorectal Surgery: A Retrospective Study of 124 Consecutive Patients |
| title_sort | risk factors for postoperative paralytic ileus in advanced age patients after laparoscopic colorectal surgery a retrospective study of 124 consecutive patients |
| topic | colorectal surgery laparoscopic postoperative paralytic ileus sarcopenia advanced-age |
| url | https://www.jstage.jst.go.jp/article/jarc/7/1/7_2022-044/_pdf/-char/en |
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