Why the study?
Does the degree of preoperative weight loss affect postoperative morbidity in surgically-treated patients with inflammatory bowel disease?
Does the degree of preoperative weight loss affect postoperative morbidity in surgically-treated patients with inflammatory bowel disease?
Preoperative weight loss does not appear to adversely affect postoperative morbidity in patients undergoing surgery for inflammatory bowel disease.
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Preoperative weight loss was not associated with worse morbidity after IBD surgery; supports optimization but leaves open need for prospective confirmation.
Clinical observations in developing countries and experimental studies in animals suggest that preoperative weight loss adversely affects postoperative morbidity. Since it is not clear whether these findings can be applied to surgical series in European countries, we have studied 106 surgically-treated patients with inflammatory bowel disease. Patients were divided into three groups according to the degree of preoperative weight loss. The groups were well matched in all other respects. Postoperative morbidity was monitored independently. The outcome in all three groups was similar so that in these patients, at least, preoperative weight loss did not adversely affect the postoperative outcome.
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Higgens et al. (1981) studied this question.
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