2008
DOI: 10.1245/s10434-008-9990-2
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Impact of Body Mass Index on Perioperative Outcomes in Patients Undergoing Major Intra-abdominal Cancer Surgery

Abstract: In patients undergoing major intra-abdominal cancer surgery, obesity is not a risk factor for postoperative mortality or major complications. Importantly, underweight patients have a fivefold increased risk of postoperative mortality, perhaps a consequence of their underlying nutritional status.

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Cited by 330 publications
(314 citation statements)
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“…However, we were not able to confirm these findings and our findings are similar to more recent reports. 24,25 We did observe more gastrointestinal complications in patients with high BMI (P ¼ .016) compared with those with low BMI. These findings need confirmation and the reason for this observation is not clear.…”
Section: Discussionmentioning
confidence: 67%
“…However, we were not able to confirm these findings and our findings are similar to more recent reports. 24,25 We did observe more gastrointestinal complications in patients with high BMI (P ¼ .016) compared with those with low BMI. These findings need confirmation and the reason for this observation is not clear.…”
Section: Discussionmentioning
confidence: 67%
“…The relationship between the preoperative nutritional status and the outcome of surgery in patients with oesophageal carcinoma has shown conflicting results [58][59][60][61] . In one study, underweight patients who underwent major intra-abdominal surgery, e.g., oesophagectomy, had a five-fold increased risk of postoperative mortality 59 .…”
Section: Patient Selectionmentioning
confidence: 99%
“…In one study, underweight patients who underwent major intra-abdominal surgery, e.g., oesophagectomy, had a five-fold increased risk of postoperative mortality 59 . Though, other studies including exclusively oesophageal cancer patients have not confirmed this 58;60 .…”
Section: Patient Selectionmentioning
confidence: 99%
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“…Associations between obesity and postoperative morbidity are less clear-cut, although many reports suggest that this is indeed so [4]. Some recent reports suggest a link between obesity and surgical site infection risk [5], while others indicate increased risks for minor complications after major cancer operations, but not major complications or death [6]. …”
mentioning
confidence: 99%