Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
April 24, 2008Patient Safety in SurgeryOpen Access

Multivariate analysis revealed that patient age, open total gastrectomy, and high BMI (OR 4.356, p=0.011) or high VFA (OR 3.170, p=0.015) independently predicted high intraoperative blood loss (≥ 300 ml).

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does obesity (high BMI or high VFA) increase intraoperative blood loss in patients undergoing open gastrectomy with D2 lymph-node dissection for gastric cancer?

Population

100 consecutive patients with a preoperative diagnosis of gastric cancer who underwent open gastrectomy with…

Comparison

High body-mass index or high visceral fat area vs Normal BMI (<25.0 kg/m2) or normal VFA (<100 cm2)

Design

Cohort

Follow-up

short-term postoperative

Authors

HMHirochika MakinoCKChikara KunisakiHAHirotoshi Akiyama

Discussion

Loading...

Member takes

Overview

High BMI or VFA signals elevated bleeding risk in open gastrectomy; supports risk stratification yet leaves open need for prospective validation.

Structured PICO

Does obesity (high BMI or high VFA) increase intraoperative blood loss in patients undergoing open gastrectomy with D2 lymph-node dissection for gastric cancer?

P
Population
100 consecutive patients with a preoperative diagnosis of gastric cancer who underwent open gastrectomy with D2 lymph-node dissection at a single center in Japan. Mean age 66.0 ± 9.8 years, 72 men and 28 women.
I
Intervention
High body-mass index (BMI ≥ 25.0 kg/m2) or high visceral fat area (VFA ≥ 100 cm2)
C
Comparator
Normal BMI (<25.0 kg/m2) or normal VFA (<100 cm2)
O
Outcome
Intraoperative blood loss (IBL) and short-term surgical outcomes (operating time, number of dissected lymph nodes, morbidity)safety

High BMI and high visceral fat area independently predict increased intraoperative blood loss during open gastrectomy with D2 lymph-node dissection for gastric cancer.

Cite This Study

Makino et al. (2008) studied this question.

synapsesocial.com/papers/6a7213cb8031ec7bb1dd3a1dhttps://doi.org/10.1186/1754-9493-2-7
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of visceral fat obesity (obesity disease) on short‐ and long‐term outcomes of laparoscopic gastrectomy in gastric cancer2024
  2. 2Comprehensive assessment of body mass index effects on short-term and long-term outcomes in laparoscopic gastrectomy for gastric cancer: a retrospective study2024 · 1 citations
  3. 3Impact of Body Mass Index on Outcomes in Robotic Gastric Cancer Surgery2026
  4. 4Risk Factors for Body Weight Loss After Gastrectomy for Gastric Cancer Analyzed From the <scp>JCOG1001</scp> Phase <scp>III</scp> Trial2025
  5. 5Effect of obesity on perioperative outcomes following gastrointestinal surgery: meta-analysis2023 · 50 citations