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Visceral to subcutaneous fat area ratio predicts early postoperative small bowel obstruction after total gastrectomy for cardia cancer
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Visceral to subcutaneous fat area ratio predicts early postoperative small bowel obstruction after total gastrectomy for cardia cancer
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Journal Article
Visceral to subcutaneous fat area ratio predicts early postoperative small bowel obstruction after total gastrectomy for cardia cancer
2024
Overview
Objective
We aimed to investigate the relationship between the visceral to subcutaneous fat area ratio (V/S ratio) and incidence of early postoperative small bowel obstruction (EPSBO) following total gastrectomy for cardia cancer.
Methods
We conducted a retrospective analysis among patients with cardia cancer who underwent elective total gastrectomy with esophagojejunostomy Roux-en-Y anastomosis at Nanjing Yimin Hospital between November 2019 and April 2024. Preoperative, intraoperative, and postoperative factors were meticulously monitored. The V/S ratio was calculated using computed tomography scans at the umbilical level with Slice-O-Matic software (Tomovision, Montreal, Canada). Statistical analyses included logistic regression and receiver operating characteristic (ROC) curve analysis.
Results
Among 175 patients, 27 (15.4%) developed EPSBO. The V/S ratio was significantly higher in the EPSBO group (1.76 ± 1.05 vs. 1.01 ± 0.54). Logistic regression identified the V/S ratio as a significant predictor of EPSBO (odds ratio [OR] = 1.612, 95% [CI]: 1.102–1.605). ROC curve analysis demonstrated high sensitivity (92%) and specificity (100%) for the V/S ratio in predicting EPSBO, with a 0.83 AUC.
Conclusions
Our findings indicated a higher V/S ratio was a significant predictor of EPSBO following total gastrectomy for cardia cancer. Preoperative assessment of the V/S ratio can inform risk stratification and guide targeted interventions to improve postoperative outcomes.
Publisher
SAGE Publications,Sage Publications Ltd,SAGE Publishing
Subject
/ Anastomosis, Roux-en-Y - adverse effects
/ Cancer
/ Female
/ Gastrectomy - adverse effects
/ Humans
/ Intestinal Obstruction - diagnosis
/ Intestinal Obstruction - diagnostic imaging
/ Intestinal Obstruction - etiology
/ Intestine, Small - diagnostic imaging
/ Intestine, Small - pathology
/ Intra-Abdominal Fat - diagnostic imaging
/ Male
/ Postoperative Complications - diagnosis
/ Postoperative Complications - epidemiology
/ Postoperative Complications - etiology
