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Morbid Obesity Causes Chronic Increase of Intraabdominal Pressure

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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

  1. 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

    Article  PubMed  CAS  Google Scholar 

  2. Coombs HS (1920) The mechanism of the regulation of intra abdominal pressure. Am J Physiol 61:159–163

    Google Scholar 

  3. Burch JM, Moore EE, Franciose R (1996) The abdominal compartment syndrome. Surg Clin North Am 76:833–842

    Article  PubMed  CAS  Google Scholar 

  4. Abehouse BS (1945) Renal decapsulation: a review of the literature and a report on 10 cases. J Urol 53:27–32

    Google Scholar 

  5. Bradley SE, Bradley GP (1947) The effects of increased intra-abdominal pressure on renal function. J Clin Invest 26:1010–1015

    Article  PubMed  CAS  Google Scholar 

  6. Frezza EE (2004) New concepts of physiology in obese patients. Dig Dis Sci 49:1062–1064

    Article  PubMed  Google Scholar 

  7. 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

    Article  PubMed  CAS  Google Scholar 

  8. 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

    Article  PubMed  CAS  Google Scholar 

  9. Meldurm DR, Moore FA, Moore EE (1997) Prospective characterization and selective management of abdominal compartment syndrome. Am J Surg 174:667–673

    Article  Google Scholar 

  10. Richardson JD, Trinkle JK (1976) Hemodynamic and respiratory Alterations with increased intra-abdominal pressure. J Surg Res 20:401–404

    Article  PubMed  CAS  Google Scholar 

  11. Harman PK, Kron IL, Mcachlan HD (1982) Elevated intra-abdominal pressure and renal function. Ann Surg 196:594–597

    Article  PubMed  CAS  Google Scholar 

  12. 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

    Article  PubMed  CAS  Google Scholar 

  13. 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

    Google Scholar 

  14. Nathens AB, Brenneman FD, Boulanger BR (1997) The Abdominal compartment syndrome. Can J Surg 40:254–258

    PubMed  CAS  Google Scholar 

  15. Diebel LN, Dlchavsky SA, Brown WJ (1997) Splanchnic ischemia and bacterial translocation in abdominal compartment syndrome. J Trauma 43:852–855

    PubMed  CAS  Google Scholar 

Download references

Acknowledgements

Oral presentation at the International Surgical Society Meeting, Durban, South Africa, August 2005.

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Authors and Affiliations

  1. Division of General Surgery, Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas, USA

    Eldo E. Frezza, Khaled O. Shebani & Jana Robertson

  2. Department of Pathology, Texas Tech University Health Sciences Center, Lubbock, Texas, USA

    Mitchell S. Wachtel

Authors
  1. Eldo E. Frezza
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  2. Khaled O. Shebani
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  3. Jana Robertson
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  4. Mitchell S. Wachtel
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Correspondence to Eldo E. Frezza.

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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

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