TY - JOUR
T1 - Impact of sarcopenia on surgical site infection after restorative proctocolectomy for ulcerative colitis
AU - Fujikawa, Hiroyuki
AU - Araki, Toshimitsu
AU - Okita, Yoshiki
AU - Kondo, Satoru
AU - Kawamura, Mikio
AU - Hiro, Junichiro
AU - Toiyama, Yuji
AU - Kobayashi, Minako
AU - Tanaka, Koji
AU - Inoue, Yasuhiro
AU - Mohri, Yasuhiko
AU - Uchida, Keiichi
AU - Kusunoki, Masato
N1 - Publisher Copyright:
© 2016, Springer Japan.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Purpose: The coexistence of sarcopenia is associated with postoperative complications, including infection after abdominal surgery. We evaluated the association between sarcopenia and surgical site infection (SSI) after surgery for ulcerative colitis. Methods: The subjects of this retrospective study were 69 patients who underwent restorative proctocolectomy with perioperative abdominal computed tomography (CT). Sarcopenia was diagnosed by measuring the cross-sectional area of the right and left psoas muscles as the total psoas muscle area on CT images. We assessed whether sarcopenia was associated with SSI and clinical factors, including nutritional and inflammatory markers. Results: The lowest quartiles defined as sarcopenia in men and women were 567.4 and 355.8 mm2/m2, respectively. According to this classification, 12 men and 6 women had sarcopenia. Patients with sarcopenia had a lower body mass index (p = 0.0004) and a higher C-reactive protein concentration (p = 0.05) than those without sarcopenia. SSIs were identified in 12 patients (17.3 %) and included six pelvic abscesses and seven wound infections. According to multivariate analysis, sarcopenia was an independent risk factor for SSI (odds ratio = 4.91, 95 % confidence interval 1.09–23.5, p = 0.03). Conclusion: Sarcopenia is predictive of SSI after pouch surgery for ulcerative colitis.
AB - Purpose: The coexistence of sarcopenia is associated with postoperative complications, including infection after abdominal surgery. We evaluated the association between sarcopenia and surgical site infection (SSI) after surgery for ulcerative colitis. Methods: The subjects of this retrospective study were 69 patients who underwent restorative proctocolectomy with perioperative abdominal computed tomography (CT). Sarcopenia was diagnosed by measuring the cross-sectional area of the right and left psoas muscles as the total psoas muscle area on CT images. We assessed whether sarcopenia was associated with SSI and clinical factors, including nutritional and inflammatory markers. Results: The lowest quartiles defined as sarcopenia in men and women were 567.4 and 355.8 mm2/m2, respectively. According to this classification, 12 men and 6 women had sarcopenia. Patients with sarcopenia had a lower body mass index (p = 0.0004) and a higher C-reactive protein concentration (p = 0.05) than those without sarcopenia. SSIs were identified in 12 patients (17.3 %) and included six pelvic abscesses and seven wound infections. According to multivariate analysis, sarcopenia was an independent risk factor for SSI (odds ratio = 4.91, 95 % confidence interval 1.09–23.5, p = 0.03). Conclusion: Sarcopenia is predictive of SSI after pouch surgery for ulcerative colitis.
UR - https://www.scopus.com/pages/publications/84973100737
UR - https://www.scopus.com/pages/publications/84973100737#tab=citedBy
U2 - 10.1007/s00595-016-1357-x
DO - 10.1007/s00595-016-1357-x
M3 - Article
C2 - 27255541
AN - SCOPUS:84973100737
SN - 0941-1291
VL - 47
SP - 92
EP - 98
JO - Surgery Today
JF - Surgery Today
IS - 1
ER -