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Postoperative Changes in Body Composition After Pancreaticoduodenectomy Using Multifrequency Bioelectrical Impedance Analysis

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Background

Nutritional status is one of the most important clinical determinants of outcome after surgery. The aim of this study was to compare changes in the body composition of patients undergoing pancreaticoduodenectomy (PD), distal gastrectomy (DG), or total gastrectomy (TG).

Methods

The parameters of body composition were measured using multifrequency bioelectrical impedance analysis with an inBody 720 (Biospace Inc. Tokyo. Japan) in 60 patients who had undergone PD (n = 18), DG (n = 30), or TG (n = 12). None of the patients had recurrence or were treated with chemotherapy. Changes between the preoperative data and results and those obtained 12 months after surgery were evaluated.

Results

Twelve months after surgery, the body weight change in the PD group was significantly lower than in the TG and DG groups (−1.2 ± 3.8 vs −7.4 ± 4.4 and −4.0 ± 3.2 kg, respectively; p < 0.01 vs TG, p < 0.05 vs DG). The body weight change correlated with the fat mass change in all groups.

Conclusions

The type and extent of surgery has a different effect on long-term body weight and body composition. Bioelectric impedance analysis can be used to assess body composition and may be useful for nutritional assessment in patients who have undergone these surgeries.

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Acknowledgments

This study was supported in part by the National Cancer Center Research and Development Fund (25-A-5 26-A-4).

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, National Hospital Organization Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka, 540-0006, Japan

    Manabu Mikamori, Atsushi Miyamoto, Tadafumi Asaoka, Sakae Maeda, Naoki Hama, Kazuyoshi Yamamoto, Motohiro Hirao, Masataka Ikeda, Mitsugu Sekimoto & Shoji Nakamori

  2. Department of Gastroenterological Surgery, Graduate School of Medicine Osaka University, 2-2 Yamadaoka, Suita-shi, Osaka, 565-0871, Japan

    Manabu Mikamori, Tadafumi Asaoka, Yuichiro Doki & Masaki Mori

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  1. Manabu Mikamori
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Correspondence to Shoji Nakamori.

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Mikamori, M., Miyamoto, A., Asaoka, T. et al. Postoperative Changes in Body Composition After Pancreaticoduodenectomy Using Multifrequency Bioelectrical Impedance Analysis. J Gastrointest Surg 20, 611–618 (2016). https://doi.org/10.1007/s11605-015-3055-1

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  • DOI: https://doi.org/10.1007/s11605-015-3055-1

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