Measurement of visceral fat on preoperative computed tomography predicts complications after sigmoid colectomy for diverticular disease

Rafel Tappouni, Paul Mathew, Tara M. Connelly, Franklyn Luke, Evangelos Messaris

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background Visceral and subcutaneous abdominal fat parameters have been associated with worse surgical outcomes in colorectal cancer but have not been investigated in diverticulitis. Methods Volumetric fat parameters were measured on preoperative computed tomography scans from 211 diverticulitis patients. Primary outcome was a serious postoperative complication (Clavien-Dindo grades 2-4). Variables including age, disease duration, American Society of Anesthesiology score, ostomy, immunosuppression, body mass index, and volumetric fat parameters were examined. SPSS was used for statistics. Results The serious postoperative complication rate was 12.7%. On univariate analysis, several factors including older age (P =.0001), ostomy creation (P =.02), higher visceral fat (VF, P =.01), emergent surgery (P =.05), and higher American Society of Anesthesiology score (P =.05) were associated with complications. On multivariate regression analysis, only VF was independently associated with complications. Conclusions Diverticulitis patients with high VF are more likely to develop complications after sigmoidectomy. VF measurement may potentially be used as a tool to assist in surgical decision making and prediction of outcomes.

Original languageEnglish (US)
Pages (from-to)285-290
Number of pages6
JournalAmerican Journal of Surgery
Volume210
Issue number2
DOIs
StatePublished - Aug 1 2015

Fingerprint

Diverticulitis
Intra-Abdominal Fat
Colectomy
Sigmoid Colon
Ostomy
Anesthesiology
Tomography
Fats
Abdominal Subcutaneous Fat
Immunosuppression
Colorectal Neoplasms
Decision Making
Body Mass Index
Multivariate Analysis
Regression Analysis

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Tappouni, Rafel ; Mathew, Paul ; Connelly, Tara M. ; Luke, Franklyn ; Messaris, Evangelos. / Measurement of visceral fat on preoperative computed tomography predicts complications after sigmoid colectomy for diverticular disease. In: American Journal of Surgery. 2015 ; Vol. 210, No. 2. pp. 285-290.
@article{9300c27ce6cd4c1c997c02b45bbb5518,
title = "Measurement of visceral fat on preoperative computed tomography predicts complications after sigmoid colectomy for diverticular disease",
abstract = "Background Visceral and subcutaneous abdominal fat parameters have been associated with worse surgical outcomes in colorectal cancer but have not been investigated in diverticulitis. Methods Volumetric fat parameters were measured on preoperative computed tomography scans from 211 diverticulitis patients. Primary outcome was a serious postoperative complication (Clavien-Dindo grades 2-4). Variables including age, disease duration, American Society of Anesthesiology score, ostomy, immunosuppression, body mass index, and volumetric fat parameters were examined. SPSS was used for statistics. Results The serious postoperative complication rate was 12.7{\%}. On univariate analysis, several factors including older age (P =.0001), ostomy creation (P =.02), higher visceral fat (VF, P =.01), emergent surgery (P =.05), and higher American Society of Anesthesiology score (P =.05) were associated with complications. On multivariate regression analysis, only VF was independently associated with complications. Conclusions Diverticulitis patients with high VF are more likely to develop complications after sigmoidectomy. VF measurement may potentially be used as a tool to assist in surgical decision making and prediction of outcomes.",
author = "Rafel Tappouni and Paul Mathew and Connelly, {Tara M.} and Franklyn Luke and Evangelos Messaris",
year = "2015",
month = "8",
day = "1",
doi = "10.1016/j.amjsurg.2014.10.026",
language = "English (US)",
volume = "210",
pages = "285--290",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "2",

}

Measurement of visceral fat on preoperative computed tomography predicts complications after sigmoid colectomy for diverticular disease. / Tappouni, Rafel; Mathew, Paul; Connelly, Tara M.; Luke, Franklyn; Messaris, Evangelos.

In: American Journal of Surgery, Vol. 210, No. 2, 01.08.2015, p. 285-290.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Measurement of visceral fat on preoperative computed tomography predicts complications after sigmoid colectomy for diverticular disease

AU - Tappouni, Rafel

AU - Mathew, Paul

AU - Connelly, Tara M.

AU - Luke, Franklyn

AU - Messaris, Evangelos

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Background Visceral and subcutaneous abdominal fat parameters have been associated with worse surgical outcomes in colorectal cancer but have not been investigated in diverticulitis. Methods Volumetric fat parameters were measured on preoperative computed tomography scans from 211 diverticulitis patients. Primary outcome was a serious postoperative complication (Clavien-Dindo grades 2-4). Variables including age, disease duration, American Society of Anesthesiology score, ostomy, immunosuppression, body mass index, and volumetric fat parameters were examined. SPSS was used for statistics. Results The serious postoperative complication rate was 12.7%. On univariate analysis, several factors including older age (P =.0001), ostomy creation (P =.02), higher visceral fat (VF, P =.01), emergent surgery (P =.05), and higher American Society of Anesthesiology score (P =.05) were associated with complications. On multivariate regression analysis, only VF was independently associated with complications. Conclusions Diverticulitis patients with high VF are more likely to develop complications after sigmoidectomy. VF measurement may potentially be used as a tool to assist in surgical decision making and prediction of outcomes.

AB - Background Visceral and subcutaneous abdominal fat parameters have been associated with worse surgical outcomes in colorectal cancer but have not been investigated in diverticulitis. Methods Volumetric fat parameters were measured on preoperative computed tomography scans from 211 diverticulitis patients. Primary outcome was a serious postoperative complication (Clavien-Dindo grades 2-4). Variables including age, disease duration, American Society of Anesthesiology score, ostomy, immunosuppression, body mass index, and volumetric fat parameters were examined. SPSS was used for statistics. Results The serious postoperative complication rate was 12.7%. On univariate analysis, several factors including older age (P =.0001), ostomy creation (P =.02), higher visceral fat (VF, P =.01), emergent surgery (P =.05), and higher American Society of Anesthesiology score (P =.05) were associated with complications. On multivariate regression analysis, only VF was independently associated with complications. Conclusions Diverticulitis patients with high VF are more likely to develop complications after sigmoidectomy. VF measurement may potentially be used as a tool to assist in surgical decision making and prediction of outcomes.

UR - http://www.scopus.com/inward/record.url?scp=84931568751&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84931568751&partnerID=8YFLogxK

U2 - 10.1016/j.amjsurg.2014.10.026

DO - 10.1016/j.amjsurg.2014.10.026

M3 - Article

C2 - 25840842

AN - SCOPUS:84931568751

VL - 210

SP - 285

EP - 290

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 2

ER -