Monday, February 27, 2012

From UT-Soutwestern: obesity and postgastrectomy outcomes

http://www.ncbi.nlm.nih.gov/pubmed/22350826

Gastric Cancer. 2012 Feb 21. [Epub ahead of print]
Obesity and postgastrectomy outcomes: large risks, fat chances, or no big deal?
Schwarz RE.
Source
Division of Surgical Oncology, Department of Surgery, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-8548, USA, Roderich.Schwarz@utsouthwestern.edu.

"Many Western and Asian societies face an increasing prevalence of obesity and related metabolic disorders [1]. Aside from the related issues that affect health care systems in general, surgeons specifically are faced with an increasing challenge to maintain high-quality care with good outcomes in an ever-increasing number of obese patients. Overweight patients are at greater risk for comorbidity and disability, particularly at body mass indices (BMI) of greater than 35 kg/m2 [2]. It is thus clear that operative care of obese patients requires greater health care resources, and frequently leads to increased length of hospital stay [3]. 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]."

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