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A Body Shape Index Has a Good Correlation with Postoperative Complications in Gastric Cancer Surgery

  • Gastrointestinal Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

The relationship between obesity and surgical complications has been controversial. A Body Shape Index (ABSI) is a newly developed anthropometric index based on waist circumference adjusted for height and weight. The aim of this study was to investigate the relationship between ABSI and surgical complications.

Methods

From November 2001 to September 2012, 4,813 patients underwent curative resection for gastric cancer. ABSI was defined as waist circumference divided by (BMI2/3height1/2). Data of clinicopathologic characteristics and morbidity were collected by retrospective review. Binary logistic regression was used for multivariable analyses to determine whether ABSI was independently associated with postoperative complications.

Results

The incidence of overall surgical complications was 13.4 %, and the most common complication was ileus (2.8 %). In the multivariable analysis, ABSI was an independent factor for overall complications [odds ratio (OR), 1.22; 95 % confidence interval (CI) 1.01–1.48; P = 0.041). However, BMI showed no statistical significance (OR, 1.03; 95 % CI 1.00–1.06; P = 0.063). In the subgroup analyses, ABSI was significantly associated with overall complications regarding open gastrectomy (OR, 1.26; 95 % CI 1.01–1.57; P = 0.039). Regarding laparoscopy-assisted gastrectomy, ABSI had no significant effect on overall complications (P = 0.844).

Conclusions

ABSI shows good correlation with surgical complications in patients with gastric cancer. Further studies are needed for the various clinical roles of ABSI, and the results could be helpful to determine the effect of abdominal obesity on gastric cancer surgery and the clinical usefulness of ABSI.

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Acknowledgment

This work was supported by a grant of the National Cancer Center (NCC-1110531-1,2).

Author information

Author notes

  1. Jun Ho Lee MD, PhD

    Present address: Department of Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Irwon-dong 58, Seoul, Gangnam-gu, Republic of Korea

Authors and Affiliations

  1. Center for Gastric Cancer, National Cancer Center, Goyang-si, Republic of Korea

    Bang Wool Eom MD, Hong Man Yoon MD, Keun Won Ryu MD, PhD, Young-Woo Kim MD, PhD & Jun Ho Lee MD, PhD

  2. Biometric Research Branch, Division of Cancer Epidemiology and Prevention, Research Institute & Hospital, National Cancer Center, Goyang-si, Republic of Korea

    Jungnam Joo PhD

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  1. Bang Wool Eom MD
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  2. Jungnam Joo PhD
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  5. Young-Woo Kim MD, PhD
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Corresponding author

Correspondence to Jun Ho Lee MD, PhD.

Additional information

The study was approved by the institutional review board of the Korean National Cancer Center. (No. NCCNCS-12-571)

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Eom, B.W., Joo, J., Yoon, H.M. et al. A Body Shape Index Has a Good Correlation with Postoperative Complications in Gastric Cancer Surgery. Ann Surg Oncol 21, 1115–1122 (2014). https://doi.org/10.1245/s10434-013-3409-4

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  • DOI: https://doi.org/10.1245/s10434-013-3409-4

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