Risk Factors for Postoperative Paralytic Ileus in Advanced-age Patients after Laparoscopic Colorectal Surgery: A Retrospective Study of 124 Consecutive Patients.
advanced-age
colorectal surgery
laparoscopic
postoperative paralytic ileus
sarcopenia
Journal
Journal of the anus, rectum and colon
ISSN: 2432-3853
Titre abrégé: J Anus Rectum Colon
Pays: Japan
ID NLM: 101718055
Informations de publication
Date de publication:
2023
2023
Historique:
received:
20
08
2022
accepted:
09
11
2022
entrez:
6
2
2023
pubmed:
7
2
2023
medline:
7
2
2023
Statut:
epublish
Résumé
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. 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 cm 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. Sarcopenia and sarcobesity may be risk factors for POI in patients aged ≥75 years after laparoscopic colorectal surgery.
Identifiants
pubmed: 36743464
doi: 10.23922/jarc.2022-044
pmc: PMC9876602
doi:
Types de publication
Journal Article
Langues
eng
Pagination
30-37Informations de copyright
Copyright © 2023 The Japan Society of Coloproctology.
Déclaration de conflit d'intérêts
Conflicts of Interest There are no conflicts of interest.
Références
Clin Nutr. 2015 Jun;34(3):367-76
pubmed: 25819420
J Gastrointest Surg. 2013 May;17(5):962-72
pubmed: 23377782
Ann Coloproctol. 2013 Feb;29(1):22-7
pubmed: 23586011
Regul Pept. 2007 Mar 1;139(1-3):65-71
pubmed: 17113660
Age Ageing. 2019 Jul 1;48(4):601
pubmed: 31081853
Lancet Oncol. 2009 Jan;10(1):44-52
pubmed: 19071061
Clin Nutr. 2020 Dec;39(12):3763-3770
pubmed: 32336524
Minim Invasive Surg. 2014;2014:530314
pubmed: 25506425
BMC Surg. 2021 Feb 11;21(1):80
pubmed: 33573636
Ann Surg. 2013 May;257(5):909-15
pubmed: 23579542
Transplantation. 2017 Mar;101(3):565-574
pubmed: 27926595
Surg Endosc. 2018 Dec;32(12):4886-4892
pubmed: 29987562
Int J Colorectal Dis. 2021 Jun;36(6):1077-1096
pubmed: 33481108
Br J Surg. 2000 Nov;87(11):1480-93
pubmed: 11091234
Cureus. 2022 Feb 27;14(2):e22652
pubmed: 35371753
Int J Colorectal Dis. 2014 Mar;29(3):343-51
pubmed: 24297037
BJS Open. 2021 Mar 5;5(2):
pubmed: 33839748
Curr Pharm Des. 2012;18(31):4755-65
pubmed: 22632857
World J Surg. 2012 Jan;36(1):179-85
pubmed: 22083434
J Am Med Dir Assoc. 2014 Feb;15(2):95-101
pubmed: 24461239
Dig Surg. 2015;32(1):32-8
pubmed: 25678189
J Cachexia Sarcopenia Muscle. 2014 Dec;5(4):253-9
pubmed: 25425503
Surg Endosc. 2016 Dec;30(12):5572-5582
pubmed: 27129566
Oncotarget. 2017 Mar 28;8(13):20794-20801
pubmed: 28206969
Br J Surg. 2018 Jun;105(7):797-810
pubmed: 29469195
Surg Endosc. 2018 Jan;32(1):337-344
pubmed: 28656338
Int J Surg. 2016 Mar;27:66-71
pubmed: 26805570
Dis Colon Rectum. 2019 May;62(5):631-637
pubmed: 30543534
Ann Gastroenterol Surg. 2019 Oct 16;3(6):657-666
pubmed: 31788654
Surg Clin North Am. 2012 Apr;92(2):259-72, viii
pubmed: 22414412
World J Clin Cases. 2020 Apr 6;8(7):1188-1202
pubmed: 32337193
J Surg Res. 2016 Apr;201(2):279-85
pubmed: 27020808
World J Gastrointest Oncol. 2016 Jul 15;8(7):573-82
pubmed: 27559437
Surg Endosc. 2016 Feb;30(2):603-609
pubmed: 26017914
Asian J Endosc Surg. 2020 Jan;13(1):7-18
pubmed: 31828925
Medicine (Baltimore). 2020 Oct 2;99(40):e22431
pubmed: 33019422
Dis Colon Rectum. 2020 Jan;63(1):68-74
pubmed: 31633601
Colorectal Dis. 2017 Sep 16;:
pubmed: 28921903
Clin Interv Aging. 2018 May 14;13:913-927
pubmed: 29785098
Int J Clin Oncol. 2021 Dec;26(12):2237-2245
pubmed: 34453641
Ann Surg Oncol. 2017 Nov;24(12):3732-3740
pubmed: 28871520
Lancet Gastroenterol Hepatol. 2017 Apr;2(4):261-268
pubmed: 28404155
Dis Colon Rectum. 2020 Jun;63(6):807-815
pubmed: 32149784
Dis Colon Rectum. 2017 Apr;60(4):433-445
pubmed: 28267012
Endocrinol Metab Clin North Am. 2001 Sep;30(3):647-69
pubmed: 11571935