Abstract
Intraabdominal hypertension and the abdominal compartment syndrome are known to deleteriously affect a wide array of organ systems. We retrospectively reviewed 62 women who underwent either laparoscopic gastric bypass surgery or adjustable gastric banding. Their age, body mass index (BMI), and race were known. Their opening abdominal pressure was recorded by connecting a Verress needle to a pressure monitor. Linear regression was used to assess the contribution of age, race, and BMI to the observed variation in opening abdominal pressure. Neither variation in age or race explained the variation in opening pressure (P > .05). By contrast, variation in BMI explained 8% of the observed variation in opening pressure (P < .05). For every 1 kg/mm2 increase in BMI, there was on average a 0.07 mm Hg increase in opening pressure. Increases in BMI are associated with increases in intraabdominal pressure.
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References
Kron IL, Harman PK, Nolan SP (1984) The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration. Ann Surg 199:28–30
Coombs HS (1920) The mechanism of the regulation of intra abdominal pressure. Am J Physiol 61:159–163
Burch JM, Moore EE, Franciose R (1996) The abdominal compartment syndrome. Surg Clin North Am 76:833–842
Abehouse BS (1945) Renal decapsulation: a review of the literature and a report on 10 cases. J Urol 53:27–32
Bradley SE, Bradley GP (1947) The effects of increased intra-abdominal pressure on renal function. J Clin Invest 26:1010–1015
Frezza EE (2004) New concepts of physiology in obese patients. Dig Dis Sci 49:1062–1064
Ivatury RR, Diebel L, Porter Smith RJ, Simon RJ (1997) Intra-abdominal hypertension and the abdominal compartment syndrome. Surg Clin North Am 77:783–800
Ivatury RR, Porter JM, Simon RJ (1998) Intra abdominal hypertension after life threatening penetrating abdominal trauma: prophylaxis incidence and clinical relevance to gastric mucosal pH and abdominal compartment syndrome. J Trauma 44:1016–1023
Meldurm DR, Moore FA, Moore EE (1997) Prospective characterization and selective management of abdominal compartment syndrome. Am J Surg 174:667–673
Richardson JD, Trinkle JK (1976) Hemodynamic and respiratory Alterations with increased intra-abdominal pressure. J Surg Res 20:401–404
Harman PK, Kron IL, Mcachlan HD (1982) Elevated intra-abdominal pressure and renal function. Ann Surg 196:594–597
Bloomfield GL, Ridinga PC, Blocher CR (1997) A proposed relationship between increased intra-abdominal, intra thoracic and intracranial pressure. Crit Care Med 25:496–503
Bloomfield GL, Dalton JM, Sugerman HJ (1995) Treatment of increasing intracranial pressure secondary to acute abdominal compartment syndrome in a patient with combined abdominal and head trauma. J Trauma 40:1168–1170
Nathens AB, Brenneman FD, Boulanger BR (1997) The Abdominal compartment syndrome. Can J Surg 40:254–258
Diebel LN, Dlchavsky SA, Brown WJ (1997) Splanchnic ischemia and bacterial translocation in abdominal compartment syndrome. J Trauma 43:852–855
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Oral presentation at the International Surgical Society Meeting, Durban, South Africa, August 2005.
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Frezza, E.E., Shebani, K.O., Robertson, J. et al. Morbid Obesity Causes Chronic Increase of Intraabdominal Pressure. Dig Dis Sci 52, 1038–1041 (2007). https://doi.org/10.1007/s10620-006-9203-4
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DOI: https://doi.org/10.1007/s10620-006-9203-4